Optum Pharmacy 801, Inc.
Specialty Pharmacy
24416 N 19th Ave Ste 100, Phoenix
Arizona, 85085-1889
877-719-6349 877-719-6362
Optum Pharmacy 801, Inc. is an authorized DME supplier for medicare equipments and products.
Optum Pharmacy 801, Inc. is a Specialty Pharmacy in Phoenix, Arizona. It is located at 24416 N 19th Ave Ste 100, Phoenix and it's customer support contact number is 877-719-6349. The authorized person of Optum Pharmacy 801, Inc. is Kevin Eugene Burr who is Secretary of the pharmacy and his contact number is 712-310-4701. Optum Pharmacy 801, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Optum Pharmacy 801, Inc. is 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.
Pharmacy Details:
Optum Pharmacy 801, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Optum Pharmacy 801, Inc. |
| Type: | Specialty Pharmacy |
| Location: | 24416 N 19th Ave Ste 100, Phoenix, Arizona, 85085-1889 |
| Phone: | 877-719-6349 |
| Fax: | 877-719-6362 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kevin Eugene Burr |
| Position: | Secretary |
| Contact Number: | 712-310-4701 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1780030163 |
| NPI Enumeration Date: | 04 May, 2016 |
| NPI Last Update On: | 04 Dec, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Optum Pharmacy 801, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | | | Primary | |
| Home Infusion | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Mail Order Pharmacy | | | Secondary | |
Medicare Enrollment:
Optum Pharmacy 801, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9739385055 | O20170612001383 | Avella Of Deer Valley Inc | DME SUPPLIER - PHARMACY |
Products Available:
Optum Pharmacy 801, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Optum Cir Ste 100, Eden Prairie, Minnesota |
| Zip: | 55344-2503 |
| Phone Number: | 800-328-5979 |
Patients can reach Optum Pharmacy 801, Inc. at
24416 N 19th Ave Ste 100, Phoenix, Arizona or can
call on customer care at 877-719-6349.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.