| NPI | 1083045140 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2013-11-27 |
| Last Updated | 2025-02-04 |
| Authorized Official | Kevin Burr Secretary Phone: 7123104701 |
| Mailing Address | 1 Optum Cir Ste 100 Eden Prairie, MN 55344-2503 United States Phone: (800) 328-5979 📍 View Map |
| Primary Practice Address | 1050 Patrol Rd Jeffersonville, IN 47130-7750 United States Phone: (855) 427-4682 | Fax: (877) 342-4596 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1083045140
Optum Pharmacy 702, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083045140. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Jeffersonville, IN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-11-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083045140?
NPI 1083045140 belongs to Optum Pharmacy 702, Llc, a Pharmacy, Community/Retail Pharmacy in Jeffersonville, IN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083045140 active?
The current status of NPI 1083045140 in the NPPES registry is Active. The record was last updated on 2025-02-04.
What specialty is NPI 1083045140?
NPI 1083045140 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083045140?
You can verify NPI 1083045140 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083045140?
The primary practice address on file for NPI 1083045140 is 1050 Patrol Rd, Jeffersonville, IN 47130-7750. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083045140 issued?
NPI 1083045140 was first issued (enumerated) on 2013-11-27. The NPPES record was last updated on 2025-02-04.
Practice Location Map
Optum Pharmacy 702, Llc is located at 1050 Patrol Rd, Jeffersonville, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Optum Pharmacy 702, Llc. All records sourced from the CMS NPPES registry.