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Organization

Optum Infusion Services 202, Inc.

NPI Record: ActivePharmacy — Home Infusion Therapy Pharmacy
NPI1700975802
Jacksonville, Florida

Provider's NPPES record last updated: May 7, 2026

Overview

Entity Type
Organization
NPI
1700975802
Primary Specialty
Pharmacy — Home Infusion Therapy Pharmacy
Practice Location
Jacksonville, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:35 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacy

    Home Infusion Therapy Pharmacy

    Suppliers

    Primary

    Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

    Taxonomy code 3336H0001X
  • Pharmacy

    Compounding Pharmacy

    Suppliers

    A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

    Taxonomy code 3336C0004X
  • Pharmacy

    Managed Care Organization Pharmacy

    Suppliers

    A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

    Taxonomy code 3336M0003X
  • Pharmacy

    Specialty Pharmacy

    Suppliers

    A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

    Taxonomy code 3336S0011X

Practice Locations

Practice Location

9655 Florida Mining Blvd W Ste 411

Jacksonville, Florida 32257-2041

Phone: (866) 680-5744

Record Information

Enumeration Date
October 12, 2006
Provider's NPPES Record Last Updated
May 7, 2026
Certification Date
May 7, 2026
NPISignal NPPES Dataset
August 2026

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