Organization Active NPI

Optime Care Inc

  • Community/Retail Pharmacy
  • Earth City, MO
National Provider Identifier
1811358138
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2025017801OtherMOMO PHARMACY LICENSE NUMBER
1811358138MedicaidMO
2159441OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718001660 MO Part B Supplier - Pharmacy 8729371414 Practice locations: Earth City, MO

National Provider Directory

National Provider Directory
Tax ID family
Optime Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "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.

Verify at the official NPI Registry.