Organization Active NPI

Optum Infusion Services 305, LLC

  • Home Infusion Therapy Pharmacy
  • Lenexa, KS
National Provider Identifier
1366603854
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
15529 College Blvd
Lenexa, KS 66219-1351
Phone
(877) 342-9352
Fax
(877) 542-9352
NPI assigned
Jun 18, 2008
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

15529 College Blvd
Lenexa, KS 66219-1351

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 KS, IL, IA5 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20091007000009 KS Part B Supplier - Pharmacy 4284770165 Practice locations: Lenexa, KS
O20091008000030 IL Part B Supplier - Pharmacy 4284770165 Practice locations: Lenexa, KS
O20091008000041 IA Part B Supplier - Pharmacy 4284770165 Practice locations: Lenexa, KS
O20100930045213 KS DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 4284770165 Practice locations: Lenexa, KS
O20210202000202 KS Part B Supplier - Home Infusion Therapy Supplier 4284770165 Practice locations: Lenexa, KS

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 LLC15529 College Blvd, Lenexa, KS 66219-1351(877) 342-9352 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

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1366603854",
    "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": "15529 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351",
            "telephone_number": "877-342-9352",
            "fax_number": "877-542-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 305, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "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": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

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.