Optumcare Colorado Medical Group Llc
Non-pharmacy Dispensing Site
1106 N Cascade Ave, Colorado Springs
Colorado, 80903-1355
719-389-6384 Optumcare Colorado Medical Group Llc is a Non-pharmacy Dispensing Site in Colorado Springs, Colorado. This organization is also known as sub part of Optumcare Colorado Medical Group Llc. It is located at 1106 N Cascade Ave, Colorado Springs and it's customer support contact number is 719-389-6384. The authorized person of Optumcare Colorado Medical Group Llc is Emily Castillo who is Associate Director Credentialing of the pharmacy and his contact number is 702-579-3253.
Optumcare Colorado Medical Group Llc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Optumcare Colorado Medical Group Llc 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: | Optumcare Colorado Medical Group Llc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1106 N Cascade Ave, Colorado Springs,
Colorado, 80903-1355 |
| Phone: | 719-389-6384 |
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: | Emily Castillo |
| Position: | Associate Director Credentialing |
| Contact Number: | 702-579-3253 |
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: | 1952652422 |
| Parent Organization: | Optumcare Colorado Medical Group Llc |
| NPI Enumeration Date: | 25 Sep, 2012 |
| NPI Last Update On: | 20 Aug, 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 Optumcare Colorado Medical Group Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
| General Practice | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 04740080 | Medicaid | Colorado | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 35380,
Las Vegas, Nevada |
| Zip: | 89133-5380 |
| Phone Number: | 702-579-3203 |
Patients can reach Optumcare Colorado Medical Group Llc at
1106 N Cascade Ave, Colorado Springs, Colorado or can
call on customer care at 719-389-6384.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.