Active NPI
Optum Infusion Services 501 Inc
- Home Infusion Therapy Pharmacy
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- OPTUM INFUSION SERVICES 501 INC
- Practice address
- 1867 Lackland Hill Pkwy
Saint Louis, MO 63146-3545 - Phone
- (800) 560-8424
- Fax
- (877) 542-9352
- NPI assigned
- Aug 19, 2021
- Organization subpart
- Yes
- Parent organization
- OPTUM INFUSION SERVICES 500, INC.
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary |
Addresses
Primary practice location
1867 Lackland Hill Pkwy
Saint Louis, MO 63146-3545
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 MO
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220414001923 | MO | DME Supplier - Pharmacy | 7911311790 | Practice locations: Saint Louis, MO |
| O20220926000638 | MO | Part B Supplier - Home Infusion Therapy Supplier | 7911311790 | Practice locations: Saint Louis, MO |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community/Retail Pharmacy
- Buffalo Grove, IL
- NPI 1780605741
7911311790
-
- Home Infusion Therapy Pharmacy
- Woodinville, WA
- NPI 1841832466
7911311790
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 501, Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Implanted Infusion Pumps and/or Supplies|Enteral Nutrients|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Optum Infusion Services 501 Inc
- Part of
- Optum Infusion Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Buffalo Grove, IL
- NPI 1780605741
-
- Home Infusion Therapy Pharmacy
- Woodinville, WA
- NPI 1841832466
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Houston, TX
- NPI 1780187237
Member Of
Locations
1867 Lackland Hill Pkwy
Saint Louis, MO 63146
Phone (800) 560-8424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1730855701",
"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": "1867 LACKLAND HILL PKWY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463545",
"telephone_number": "800-560-8424",
"fax_number": "877-542-9352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM INFUSION SERVICES 501 INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPTUM INFUSION SERVICES 500, INC.",
"enumeration_date": "2021-08-19",
"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": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding 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 Saint Louis, MO
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.