Optumrx

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

64702 Issued in CA

Legal business name

OPTUMRX

Practice address

2300 Main St
Irvine, CA 92614-6223

Phone

(949) 475-3466

Fax

(949) 474-4237

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tuan Dinh Pham, PHARM.D.

Title

Pharmacist

Phone

(818) 943-3599

Specialties & licenses 2

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Optumrx Pharmacy, Inc.

  • Mail Order Pharmacy
  • Carlsbad, CA
  • NPI 1417344789
  NPPES parent name

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1992256002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MAIN ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146223",
            "telephone_number": "949-475-3466",
            "fax_number": "949-474-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MAIN ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146223",
            "telephone_number": "949-475-3466",
            "fax_number": "949-474-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-943-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "64702",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "64702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optimus West LLC
• Orange Coast Family Medical Group Inc.
• Orange Coast Head and Neck Surgery
• Orange Coast Laser Vision Center, Inc.
• Orange County Comprehensive Psychological Services, Inc
• Orange County Digestive Center, Inc

• Point of Service in Irvine, CA
• Providers in Irvine, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.