Optumrx Home Delivery of Ohio Inc.

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

021247500 Issued in OH

Legal business name

OPTUMRX HOME DELIVERY OF OHIO INC.

Practice address

33381 Walker Rd
Avon Lake, OH 44012-1463

Phone

(800) 233-3872

Fax

(800) 893-2299

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Robert Traffis

Title

Pharmacist

Phone

(440) 930-9513

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OptumRx of Ohio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Radachi-Murphy, RPH

  • Pharmacist
  • Avon Lake, OH
  • NPI 1538268545
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1205930260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33381 WALKER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121463",
            "telephone_number": "800-233-3872",
            "fax_number": "800-893-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33381 WALKER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121463",
            "telephone_number": "800-233-3872",
            "fax_number": "800-893-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMRX HOME DELIVERY OF OHIO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "TRAFFIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "440-930-9513"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OH",
            "license": "021247500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076499",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptumRx of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northshore Optometrists, LLC
• Mary O'Malley, LISW
• Ohio CVS Stores LLC
• Ohio Optometric Consultants Inc.
• Rebecca Opel
• Vidya Pandit, MD
• Laura Ilona Pandy, DDS
• Path to Clarity Counseling
• Nicholas Patrick, RN
• Amelia Renee Patterson, MT

• Mail Order Pharmacy in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Mail Order Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.