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OPTUM PHARMACY 801 INC. NPI 1780030163


NPI Information

NPI: 1780030163
Provider Name: OPTUM PHARMACY 801, INC.
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
24416 N 19TH AVE STE 100
PHOENIX, AZ
ZIP 85085
Phone: (877) 719-6349
Get Directions

OPTUM PHARMACY 801, INC. is a specialty pharmacy pharmacy in Phoenix, AZ. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. OPTUM PHARMACY 801, INC. NPI is 1780030163. The provider is registered as an organization entity type.

The provider's business location address is:

24416 N 19TH AVE STE 100
PHOENIX, AZ
ZIP 85085-889
Phone: (877) 719-6349
Fax: (877) 719-6362

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 5/4/2016 and was last updated on 2/13/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251F00000XHome InfusionNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336M0002XPharmacyMail Order PharmacyNo
73336S0011XPharmacySpecialty PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.