Optum Pharmacy 704, Inc.

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

OPTUM PHARMACY 704, INC.

Practice address

5627 University HTS Ste 108
San Antonio, TX 78249-3583

Phone

(800) 562-6223

Fax

(800) 491-7997

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Denise McCabe

Title

Secretary

Phone

(820) 245-4968

Specialties & licenses 2

Addresses

Tax ID family

Optum Pharmacy 704 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optum Pharmacy 704, Inc.

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1457408536
  NPD tax ID

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1154893600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OPTUM CIR STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442956",
            "telephone_number": "800-328-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 UNIVERSITY HTS STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493583",
            "telephone_number": "800-562-6223",
            "fax_number": "800-491-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PHARMACY 704, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "820-245-4968"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometric Providers of New Hampshire, PLLC
• Optum Palliative and Hospice Care of Texas, Inc.
• Optum Palliative and Hospice Care of Texas, Inc.
• Optum Pharmacy 704, Inc.
• Ramiro Oquita Saenz
• Or Assists
• Floranie Fruel Ora, BSN,RN,CRRN
• Carly Oracion

• Mail Order Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mail Order Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.