Active NPI
Optime Care Inc
- Community/Retail Pharmacy
- Earth City, MO
National Provider Identifier
1811358138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OPTIME CARE INC
- Practice address
- 4060 Wedgeway CT
Earth City, MO 63045-1213 - Phone
- (314) 731-6900
- Fax
- (888) 868-3147
- NPI assigned
- Mar 14, 2016
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergio Barranco-Medina
- Title
- Pharmacist-in-Charge
- Phone
- (314) 731-6900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4060 Wedgeway CT
Earth City, MO 63045-1213
Mailing address
4060 Wedgeway CT
Earth City, MO 63045-1213
Phone (314) 731-6900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2025017801 | Other | MO | MO PHARMACY LICENSE NUMBER |
| 1811358138 | Medicaid | MO | |
| 2159441 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160718001660 | MO | Part B Supplier - Pharmacy | 8729371414 | Practice locations: Earth City, MO |
National Provider Directory
National Provider Directory- Tax ID family
- Optime Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mail Order Pharmacy
- Earth City, MO
- NPI 1124553094
-
- Specialty Pharmacy
- Earth City, MO
- NPI 1609229921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1811358138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 WEDGEWAY CT",
"city": "EARTH CITY",
"state": "MO",
"postal_code": "630451213",
"telephone_number": "314-731-6900",
"fax_number": "888-868-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 WEDGEWAY CT",
"city": "EARTH CITY",
"state": "MO",
"postal_code": "630451213",
"telephone_number": "314-731-6900",
"fax_number": "888-868-3147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-14",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "BARRANCO-MEDINA",
"authorized_official_first_name": "SERGIO",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "314-731-6900"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO PHARMACY LICENSE NUMBER",
"identifier": "2025017801",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811358138",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2159441",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Earth City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.