Optumrx Home Delivery of Illinois LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

054.019864 Issued in IL

Legal business name

OPTUMRX HOME DELIVERY OF ILLINOIS LLC

Practice address

2441 Warrenville Rd
5TH Floor
Lisle, IL 60532-3664

Phone

(630) 328-5912

Fax

(877) 762-9551

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Yong Lee

Title

Pic

Phone

(331) 201-3665

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OptumRx of Illinois Doing business as

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1760889448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MCCONNOR PKWY",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 WARRENVILLE RD",
            "address_2": "5TH FLOOR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323664",
            "telephone_number": "630-328-5912",
            "fax_number": "877-762-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMRX HOME DELIVERY OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "331-201-3665"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IL",
            "license": "054.019864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptumRx of Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Occupational Orthopaedic Surgical Services, LLC
• Eugene D. Oh, M.D.
• Georgianna Dale Olivieri, LMFT
• Karen Olvera, LSW
• Optimus Vascular LLC
• Jessica Oropeza, APRN
• Sheila K Oshaughnessy, O.D.
• Megan Kathleen Otto, M.S. CF-SLP
• Danny Ourada, DC
• Michelle Owusu, PCCI

• Mail Order Pharmacy in Lisle, IL
• Providers in Lisle, IL by specialty
• Mail Order Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.