NPIMap

Organization Active NPI

Optum Pharmacy 701, LLC

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1508482985
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OPTUM PHARMACY 701, LLC
Practice address
4015 Shopton Rd, Suite 600
Charlotte, NC 28217
Phone
(855) 427-4682
Fax
(877) 342-4596
NPI assigned
Jun 22, 2020
Organization subpart
Yes
Parent organization
OPTUMRX ADMINISTRATIVE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 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
(820) 245-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4015 Shopton Rd, Suite 600
Charlotte, NC 28217

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 NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210219002085 NC DME Supplier - Pharmacy 2062843279 Practice locations: Charlotte, NC

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Optum Pharmacy 701 LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

4015 Shopton Rd
Ste 600
Charlotte, NC 28217

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1508482985",
    "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": "4015 SHOPTON RD, SUITE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "855-427-4682",
            "fax_number": "877-342-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PHARMACY 701, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUMRX ADMINISTRATIVE SERVICES, LLC",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.