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Contact Information

OPTUM PHARMACY 801, INC.
24416 N 19TH AVE STE 100
PHOENIX, AZ85085-1889
 Phone: 877-719-6349
 Fax: 877-719-6362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion

251F00000X
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OPTUM PHARMACY 801, INC.

NPI Number 1780030163
LBN Legal business name OPTUM PHARMACY 801, INC.
Authorized official DENISE MCCABE - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2016
Last updated 05/26/2026 - About 2 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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