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

OPTUM PHARMACY 704, INC.
NPI 1154893600
Pharmacy - Mail Order Pharmacy in San Antonio, TX

Active since December 21, 2018
5627 UNIVERSITY HTS STE 108, SAN ANTONIO, TX 78249(800) 562-6223(800) 491-7997 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, Dec 4, 2024, Jun 9, 2023 and 8 more (11 updates tracked since 2018).

About Optum Pharmacy 704, Inc. NPPES

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

OPTUM PHARMACY 704, INC. (NPI 1154893600) is a healthcare organization registered as a mail order pharmacy in San Antonio, Texas and active in the NPI registry since December 2018. The organization lists Denise Mccabe, Secretary, as its authorized official.

NPPES Registry Identity

NPI1154893600
Entity TypeOrganization
Primary Taxonomy3336M0002X
Legal Business NameOPTUM PHARMACY 704, INC.
Location Address5627 UNIVERSITY HTS STE 108San Antonio, TX 78249-3583
Mailing Address1 Optum Cir Ste 100Eden Prairie, MN 55344-2956 · (800) 328-5979
Fax(800) 491-7997
Organization SubpartNo
Authorized OfficialDenise MccabeSecretary · (820) 245-4968
Enumeration DateDecember 21, 2018
Last NPPES UpdateJuly 13, 202611 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1154893600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Mail Order PharmacySuppliers
Taxonomy Code3336M0002X
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
Also ListedPharmacyTaxonomy 333600000X
5627 UNIVERSITY HTS STE 108, San Antonio, TX 78249

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Optum Pharmacy 704, Inc. carries, from the Medicare DMEPOS supplier directory.

Optum Pharmacy 704, Inc.

DMEPOS supplier · San Antonio, TX

Accepts Medicare assignment

Optum Pharmacy 704, Inc. 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)20487827
Medicare Participant SinceJanuary 1, 2024
Supplier Location5627 University Hts Ste 108San Antonio, TX 78249
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 3

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

Pharmacist
5627 UNIVERSITY HTS STE 108
SAN ANTONIO, TX 78249
Pharmacy (Community/Retail Pharmacy)
5627 UNIVERSITY HTS STE 108
SAN ANTONIO, TX 78249
Pharmacist
5627 UNIVERSITY HTS STE 108
SAN ANTONIO, TX 78249

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 704, Inc.'s NPI number?

The NPI number for Optum Pharmacy 704, Inc. is 1154893600. It was assigned to this organization in the NPPES registry on December 21, 2018.

Where is Optum Pharmacy 704, Inc. located?

Optum Pharmacy 704, Inc. is located at 5627 University Hts Ste 108, San Antonio, TX 78249. The listed phone number is (800) 562-6223.

What is Optum Pharmacy 704, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Mail Order Pharmacy, with taxonomy code 3336M0002X.

Does Optum Pharmacy 704, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optum Pharmacy 704, Inc. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Optum Pharmacy 704, Inc. accept?

Health plans from Baylor Scott and White Health Plan list Optum Pharmacy 704, Inc. 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 704, Inc. 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 26 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.