Active NPI
Optum Infusion Services 305, LLC
- Home Infusion Therapy Pharmacy
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 PA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Home Infusion Therapy Pharmacy
- Lenexa, KS
- NPI 1366603854
4284770165
-
- Home Infusion Therapy Pharmacy
- Baton Rouge, LA
- NPI 1932412095
4284770165
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Optum Infusion Services 305 LLC | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Briovarx
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Baton Rouge, LA
- NPI 1932412095
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.