NPIMap

Organization Active NPI

Optime Care Inc

  • Mail Order Pharmacy
  • Earth City, MO
National Provider Identifier
1124553094
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
2016011308 Issued in MO
Legal business name
OPTIME CARE INC
Practice address
4060 Wedgeway CT
Earth City, MO 63045-1213
Phone
(314) 731-6900
Fax
(314) 731-6901
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donovan Quill
Title
President Ceo
Phone
(314) 731-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X 2016011308 MO Primary

Addresses

Primary practice location

4060 Wedgeway CT
Earth City, MO 63045-1213

Mailing address

4060 Wedgeway CT
Earth City, MO 63045-1213
Phone (314) 731-6900

Other identifiers 1

IdentifierTypeStateIssuer
2168880OtherPK

Other names 1

  • Optime Care Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optime Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1124553094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WEDGEWAY CT",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451213",
            "telephone_number": "314-731-6900",
            "fax_number": "314-731-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WEDGEWAY CT",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451213",
            "telephone_number": "314-731-6900",
            "fax_number": "314-731-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "QUILL",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "314-731-6900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MO",
            "license": "2016011308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optime Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Earth City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.