Optum Infusion Services 500, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

OPTUM INFUSION SERVICES 500, INC.

Practice address

2685 Patton Rd
Roseville, MN 55113

Phone

(651) 435-8142

Fax

(844) 890-9906

NPI assigned

Jul 13, 2018

Last updated

May 7, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

AXELACARE, LLCAs reported in NPPES

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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

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

• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Wallingford, CT
  • NPI 1093228306

  9537348420

  Same PAC ID
• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Pine Brook, NJ
  • NPI 1437649456

  9537348420

  Same PAC ID
• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Houston, TX
  • NPI 1780187237

  9537348420

  Same PAC ID

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

Tax ID family

Optum Infusion SVCS 500 Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Wallingford, CT
  • NPI 1093228306
  NPD tax ID
• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Pine Brook, NJ
  • NPI 1437649456
  NPD tax ID
• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Houston, TX
  • NPI 1780187237
  NPD tax ID

Member of 1

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

• Optumrx, Inc.

  dba OptumRx

  • Mail Order Pharmacy
  • Overland Park, KS
  • NPI 1669498515

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1699251520",
    "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": "2685 PATTON RD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-435-8142",
            "fax_number": "844-890-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 500, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXELACARE, LLC",
        "enumeration_date": "2018-07-13",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Therapy Pharmacy in Roseville, MN
• Providers in Roseville, MN by specialty
• Home Infusion Therapy Pharmacy in Minnesota

• 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.