Organization Active NPI

Optum Infusion Services 305, LLC

  • Home Infusion Therapy Pharmacy
  • Plymouth Meeting, PA
National Provider Identifier
1336370980
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
OPTUM INFUSION SERVICES 305, LLC
Practice address
4000 Chemical Rd Ste 100
Plymouth Meeting, PA 19462-1728
Phone
(844) 526-4665
Fax
(888) 294-1731
NPI assigned
Jul 30, 2009
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Denise McCabe
Title
Secretary
Phone
(952) 935-1191

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Community/Retail Pharmacy 3336C0003X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

4000 Chemical Rd Ste 100
Plymouth Meeting, PA 19462-1728

Mailing address

1 Optum Cir Ste 100
Eden Prairie, MN 55344-2956
Phone (800) 328-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930033995 PA DME Supplier - Pharmacy 4284770165 Practice locations: Plymouth Meeting, PA
O20171110002483 PA Part B Supplier - Pharmacy 4284770165 Practice locations: Plymouth Meeting, PA
O20220810001000 PA Part B Supplier - Home Infusion Therapy Supplier 4284770165 Practice locations: Plymouth Meeting, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Optum Infusion Services 305 LLC4000 Chemical Rd, Plymouth Meeting, PA 19462-1728(610) 536-9095 Infusion Drugs|External Infusion Pumps and/or Supplies|Implanted Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jun 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Briovarx2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2902 Momentum Pl
Chicago, IL 60689

9730 Pflumm Rd
Lenexa, KS 66215
Phone (816) 761-0110

1529 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (844) 902-9352

4 Raymond Dr
Ste H
Havertown, PA 19083
Phone (484) 450-0140

4000 Chemical Rd
Ste 100
Plymouth Mtng, PA 19462
Phone (610) 941-0129

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1336370980",
    "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": "4000 CHEMICAL RD STE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621728",
            "telephone_number": "844-526-4665",
            "fax_number": "888-294-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 305, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-935-1191"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.