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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OPTUM PHARMACY 702, LLC
NPI 1083045140
Pharmacy - Community/Retail Pharmacy in Jeffersonville, IN

Active since November 27, 2013
1050 PATROL RD, JEFFERSONVILLE, IN 47130(855) 427-4682(877) 342-4596 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Feb 4, 2025, Dec 4, 2024 and 11 more (14 updates tracked since 2015).

About Optum Pharmacy 702, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM PHARMACY 702, LLC (NPI 1083045140) is a healthcare organization registered as a community/retail pharmacy in Jeffersonville, Indiana and active in the NPI registry since November 2013. The organization lists Denise Mccabe, Secretary, as its authorized official.

NPPES Registry Identity

NPI1083045140
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOPTUM PHARMACY 702, LLC
Location Address1050 PATROL RDJeffersonville, IN 47130-7750
Mailing Address1 Optum Cir Ste 100Eden Prairie, MN 55344-2956 · (800) 328-5979
Phone(855) 427-4682
Fax(877) 342-4596
Organization SubpartNo
Authorized OfficialDenise MccabeSecretary · (820) 245-4968
Enumeration DateNovember 27, 2013
Last NPPES UpdateJuly 13, 202614 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1083045140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1050 PATROL RD, Jeffersonville, IN 47130
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Other Names 1

Other NameBriovarx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Optum Pharmacy 702 LLC carries, from the Medicare DMEPOS supplier directory.

Optum Pharmacy 702 LLC

DMEPOS supplier · Jeffersonville, IN
✔

Accepts Medicare assignment

Optum Pharmacy 702 LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20505995
Medicare Participant SinceJanuary 1, 2024
Supplier Location1050 Patrol RdJeffersonville, IN 47130
Phone(812) 256-8600
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREEELLEN SHROYER PHARMD
Pharmacist
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Clark County (855) 427-4682
SAMANTHA ST JACQUE PHARMD, RPH
Pharmacist
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Clark County (855) 242-2241
OPTUM PHARMACY 702, LLC
Pharmacy (Mail Order Pharmacy)
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Clark County (855) 427-4682
RACHEL FISCHER
Pharmacist
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Clark County (855) 427-4682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optum Pharmacy 702, LLC's NPI number?

The NPI number for Optum Pharmacy 702, LLC is 1083045140. It was assigned to this organization in the NPPES registry on November 27, 2013. The provider is also known as BriovaRx.

Where is Optum Pharmacy 702, LLC located?

Optum Pharmacy 702, LLC is located at 1050 Patrol Rd, Jeffersonville, IN 47130. The listed phone number is (855) 427-4682.

What is Optum Pharmacy 702, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Optum Pharmacy 702, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optum Pharmacy 702 LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Optum Pharmacy 702, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Optum Pharmacy 702, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optum Pharmacy 702, LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.