OPTUM INFUSION SERVICES 204, INC.


Address: 8509 Benjamin Rd Ste A, Tampa, FL 33634-1224
Phone: 8009995433

OPTUM INFUSION SERVICES 204, INC. (NPI# 1982795209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982795209
Entity Type Organization
Organization Name OPTUM INFUSION SERVICES 204, INC.
Practice Address 8509 Benjamin Rd Ste A
Tampa
FL 33634-1224
Mailing Address 8509 Benjamin Road Ste A
Tampa
FL 33634
Practice Telephone 8009995433
Practice Fax Number 8448159880
Mailing Telephone 8009995433
Mailing Fax Number 8448159880
Enumeration Date 2006-09-28
Last Update Date 2020-07-17
Authorized Official Name DAVID JOHN OBERG (ASSISTANT SECRETARY)
Authorized Official Telephone 9499885893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251E00000X Home Health 299991683 FL Agencies
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PH 27823 FL Suppliers
Y 3336H0001X Pharmacy
Specialization: Home Infusion Therapy Pharmacy
PH18940 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 016048800 05
FL HOME HEALTH NURSING 299991683 01
FL 016048801 05
FL DEA BA8113944 01
FL PHARMACY PH18940 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588936785 Optum Infusion Services 204, Inc. Home Health 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 2012-02-02
1356538771 Optum Infusion Services 204, Inc. Pharmacy 201 N. Tarragona Street, Pensacola, FL 32502 2007-09-30

Office Location

Street Address 8509 BENJAMIN RD STE A
City TAMPA
State FL
Zip Code 33634-1224

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134729510 Magaly Lozada Pharmacist 7011 West Waters Ave, Tampa, FL 33634 2020-10-27
1396223798 Kayla Lashae Keaton Developmental Therapist 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 2018-07-30
1396221008 Hannah L. Fox Developmental Therapist 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 2018-07-16
1417443623 Leah Patrinostro Developmental Therapist 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 2018-07-11
1265889208 Shannon Stumbaugh Specialist/Technologist, Other 5224 Net Drive Apt 315, Tampa, FL 33634 2016-05-19
1487024469 Brenda I Bryant Counselor 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 2015-10-02
1548697790 Arlene A. Laing Nurse Practitioner 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 2013-10-02
1942642301 Yanet D. Perez Parra Registered Nurse 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 2013-07-25
1467794784 Deanna Lynn Marr Occupational Therapist 6169 Lanshire Dr, Tampa, FL 33634 2013-03-25
1336489442 Elbert Jamaal Taylor Technician, Other 8905 Benjamin Road, Tampa, FL 33634 2013-02-26
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Taxonomy Information

Taxonomy Code 3336H0001X
Grouping Suppliers
Classification Pharmacy
Specialization Home Infusion Therapy Pharmacy

Taxonomy Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Notes: Source: National Home Infusion Association [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174784334 Florida Hhi LLC Pharmacy 6704 Benjamin Rd, Ste 700, Tampa, FL 33634-4408 2008-06-20
1053514976 Infusal Partners Pharmacy 5505 Johns Rd, Suite 700, Tampa, FL 33634-4307 2007-06-07
1417938820 Caremark L L C Pharmacy 7930 Woodland Center Blvd, Ste 500, Tampa, FL 33614-2407 2005-11-11
1649510033 Metro Infectious Disease Consultants, LLC Pharmacy 6704 Benjamin Rd, Suite 700, Tampa, FL 33634-4408 2013-02-21
1255396842 All Med Infusion, Inc. Pharmacy 3102 Cherry Palm Dr, Suite 120, Tampa, FL 33619-8314 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770090482 Eventus Rx Inc Pharmacy 11300 Lindbergh Blvd Ste 107, Fort Myers, FL 33913-8827 2018-01-03
1437590791 New Era Pharmaceuticals LLC Pharmacy 3350 Nw 53rd St, 102, Ft Lauderdale, FL 33309-6354 2013-07-15
1831481027 Smp Pharmacy Solutions, LLC Pharmacy 7500 Nw 26th St Ste 101, Miami, FL 33122-1414 2011-05-06
1154623023 Hospice of Palm Beach County, Inc. Pharmacy 300 Northpoint Pkwy Ste 301, West Palm Beach, FL 33407-1979 2010-11-29
1588897375 Reliance Pharmacy LLC Pharmacy 2100 45th St Ste B1, West Palm Beach, FL 33407-2063 2009-08-27
1285866459 In Home Health, LLC. Pharmacy 13650 Metropolis Ave Ste 105, Fort Myers, FL 33912-4375 2009-08-20
1972784841 Complete Pharmacy and Medical Solutions LLC Pharmacy 5829 Nw 158th St, Miami Lakes, FL 33014-6721 2007-11-20
1881881522 Infusal Partners Pharmacy 9655 Florida Mining Blvd W, Bldg 400, Suites 410-411, Jacksonville, FL 32257-2031 2007-09-26
1528274222 Indian River Pharmacy Pharmacy 3719 10th Ct, Vero Beach, FL 32960-6559 2007-05-16
1891838496 Heartland Pharmacy Inc Pharmacy 6360 Us 27 N, Sebring, FL 33870-1225 2007-02-14
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Competitor

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City TAMPA
Zip Code 33634

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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