Optum Pharmacy 704, Inc.
NPI 1457408536 · Community/Retail Pharmacy · San Antonio, TX
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optum Pharmacy 704, Inc. is a Community/Retail Pharmacy organization in San Antonio, TX (NPI 1457408536).
Provider details
- NPI number
- 1457408536
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Burr, Secretary(712) 310-4701
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- 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 1457408536, 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 Community/Retail 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 (855) 427-4682.
- Does Optum Pharmacy 704, Inc. accept Medicare?
- Optum Pharmacy 704, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1457408536) 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.