Optum Infusion Services 100, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

033657 Issued in NY

Legal business name

OPTUM INFUSION SERVICES 100, INC.

Practice address

25 Post Rd
Ste. 5
Albany, NY 12205-4781

Phone

(518) 218-1772

Fax

(518) 218-1093

NPI assigned

Jul 8, 2015

Organization subpart

Yes

Parent organization

OPTUM INFUSION SERVICES 100, INC.As reported in NPPES

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

Authorized official

Name

Edward Kramm

Title

President

Phone

(877) 342-9352

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Optum Infusion Services 1002 organizations share this tax ID, including this one

Part of

Optum Infusion Services

Other organizations with this tax ID 1

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

• Optum Infusion Services 100, Inc.

  • Home Infusion Agency
  • Farmingdale, NY
  • NPI 1043275969
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Optum Infusion Services 100, Inc.

  • Home Infusion Agency
  • Farmingdale, NY
  • NPI 1043275969
  NPPES parent name

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1841673811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351",
            "telephone_number": "844-902-9352",
            "fax_number": "877-542-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POST RD",
            "address_2": "STE. 5",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054781",
            "telephone_number": "518-218-1772",
            "fax_number": "518-218-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 100, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUM INFUSION SERVICES 100, INC.",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "KRAMM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-342-9352"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "NY",
            "license": "033657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7422240001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Therapy Pharmacy in Albany, NY
• Providers in Albany, NY by specialty
• Home Infusion Therapy Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.