NPIMap

Organization Active NPI

Optimed Health Partners Inc

  • Mail Order Pharmacy
  • Kalamazoo, MI
National Provider Identifier
1669098398
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
OPTIMED HEALTH PARTNERS INC
Doing business as
OptiMed Mail Order
Practice address
6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126
Phone
(269) 250-8009
Fax
(269) 250-8020
NPI assigned
Jun 18, 2020
Organization subpart
Yes
Parent organization
OPTIMED HEALTH PARTNERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Ted Rafferty
Title
Human Resources Manager
Phone
(269) 250-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X
Mail Order Pharmacy 3336M0002X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126

Mailing address

6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126
Phone (269) 250-8009

Other names 1

  • OptiMed Mail Order Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optimed Health Partners Inc4 organizations share this tax ID, including this one
Part of
Optimed Health Partners Inc

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1669098398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098126",
            "telephone_number": "269-250-8009",
            "fax_number": "269-250-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098126",
            "telephone_number": "269-250-8009",
            "fax_number": "269-250-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED HEALTH PARTNERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMED HEALTH PARTNERS INC",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "269-250-8000"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptiMed Mail Order",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.