OPTUM PHARMACY 704, INC.
NPI 1154893600
Pharmacy - Mail Order Pharmacy in San Antonio, TX
NPI Status: Active since December 21, 2018
Contact Information
5627 UNIVERSITY HTS STE 108
SAN ANTONIO, TX
ZIP 78249
Phone: (800) 562-6223
Fax: (800) 491-7997
- Organization
- Pharmacy
- Mail Order Pharmacy
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About OPTUM PHARMACY 704, INC.
This page provides the complete NPI Profile along with additional information for Optum Pharmacy 704, Inc., a provider established in San Antonio, Texas operating as a Pharmacy, focusing in mail order pharmacy . The healthcare provider is registered in the NPI registry with number 1154893600 assigned on December 2018. The practitioner's primary taxonomy code is 3336M0002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kevin Eugene Burr (Secretary)
- NPI
- 1154893600
- Provider Name
- OPTUM PHARMACY 704, INC.
- Entity Type
- Organization
- Location Address
- 5627 UNIVERSITY HTS STE 108 SAN ANTONIO, TX 78249
- Location Phone
- (800) 562-6223
- Location Fax
- (800) 491-7997
- Mailing Address
- 1 OPTUM CIR STE 100 EDEN PRAIRIE, MN 55344
- Mailing Phone
- (800) 328-5979
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2018
- Last Update Date
- 12-04-2024
- Code Navigator
Optum Pharmacy 704, Inc. is a medicare supplier with PTAN 20487827 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Mail Order Pharmacy
- Taxonomy Code
- 3336M0002X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20487827
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
Reviews for OPTUM PHARMACY 704, INC.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154893600, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78249
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154893600, enumerated as an "organization" on December 21, 2018.
The provider is located at 5627 UNIVERSITY HTS STE 108 SAN ANTONIO, TX 78249 and the phone number is (800) 562-6223.
Pharmacy with taxonomy code 3336M0002X and a focus in Mail Order Pharmacy.
The provider might be accepting Accepts: Baylor Scott and White Health Plan. Please consult your insurance carrier or call the provider to verify.
