Active NPI
Optum Frontier Therapies LLC
- Community/Retail Pharmacy
- Flint, MI
National Provider Identifier
1922181650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OPTUM FRONTIER THERAPIES LLC
- Practice address
- 325 W. Atherton Rd
Suite 1
Flint, MI 48507 - Phone
- (855) 768-9727
- Fax
- (866) 991-9929
- NPI assigned
- Oct 24, 2006
- 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
- Denise McCabe
- Title
- Secretary
- Phone
- (820) 245-4968
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
325 W. Atherton Rd
Suite 1
Flint, MI 48507
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 MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191015003168 | MI | Part B Supplier - Pharmacy | 1658602073 | Practice locations: Flint, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Diplomat Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Flint, MI
- NPI 1154601383
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Buffalo Grove, IL
- NPI 1780605741
Member Of
Locations
325 W Atherton Rd
Ste 1
Flint, MI 48507
Phone (855) 768-9727
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flint, MI
- NPI 1063175289
-
- Pharmacist
- Flint, MI
- NPI 1407651979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1922181650",
"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": "325 W. ATHERTON RD",
"address_2": "SUITE 1",
"city": "FLINT",
"state": "MI",
"postal_code": "48507",
"telephone_number": "855-768-9727",
"fax_number": "866-991-9929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM FRONTIER THERAPIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "MCCABE",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "820-245-4968"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"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
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.