OrganizationActive
Optum Pharmacy 704, Inc.
NPI 1154893600 · Mail Order Pharmacy · San Antonio, TX
Optum Pharmacy 704, Inc. is a Mail Order Pharmacy organization in San Antonio, TX (NPI 1154893600).
Provider details
- NPI number
- 1154893600
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Burr, Secretary(712) 310-4701
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5627 University Hts Ste 108
San Antonio, TX 78249-3583
Phone: (800) 562-6223
Fax: (800) 491-7997
Street-level locationGet directions
Mailing address
1 Optum Cir Ste 100
Eden Prairie, MN 55344-2503
Registry dates
- Enumerated
- 2018-12-21
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Frequently asked questions
- What is Optum Pharmacy 704, Inc.'s NPI number?
- Optum Pharmacy 704, Inc.'s National Provider Identifier (NPI) is 1154893600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optum Pharmacy 704, Inc.?
- Optum Pharmacy 704, Inc. is classified in the NPPES registry as Mail Order Pharmacy (Suppliers).
- Where is Optum Pharmacy 704, Inc. located?
- Optum Pharmacy 704, Inc.'s practice location on file with NPPES is 5627 University Hts Ste 108, San Antonio, TX 78249-3583.
- What is Optum Pharmacy 704, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Optum Pharmacy 704, Inc. is (800) 562-6223.
- Who is the authorized official for Optum Pharmacy 704, Inc.?
- The authorized official listed on Optum Pharmacy 704, Inc.'s NPPES record is Kevin Burr, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optum Pharmacy 704, Inc.'s NPI active?
- Yes — Optum Pharmacy 704, Inc.'s NPI (1154893600) is active in the NPPES registry as of the last update on 2024-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.