OPTUM INFUSION SERVICES 302 LLC NPI 1245564012

NPI Information

  • NPI: 1245564012
  • Provider Name: OPTUM INFUSION SERVICES 302, LLC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Address: 8720 SOUTH 114TH STREET, SUITE 106
    LA VISTA, NE
    ZIP 68128
  • Phone: (855) 295-3154

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NPI Details

OPTUM INFUSION SERVICES 302, LLC is a home infusion therapy pharmacy pharmacy in La Vista, NE. The provider is 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. OPTUM INFUSION SERVICES 302, LLC NPI is 1245564012. The provider is registered as an organization entity type.

The provider's business location address is:

8720 SOUTH 114TH STREET, SUITE 106
LA VISTA, NE
ZIP 68128
Phone: (855) 295-3154
Fax: (844) 204-8056

The provider's authorized official is Kevin Eugene Burr .
The authorized official title is Secretary and has the following contact phone number (712) 310-4701.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 12/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyNo
23336H0001XPharmacyHome Infusion Therapy PharmacyYes
33336S0011XPharmacySpecialty PharmacyNo

What is NPI?

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This page was last updated on: 11/21/2025

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