Optum Pharmacy 704, Inc.
NPI 1154893600ActiveOrganization· Pharmacy, Mail Order Pharmacy· San Antonio, TX
Pharmacy, Mail Order Pharmacy in San Antonio, Texas, registered in NPPES in December 2018. The authorized official on file is Denise McCabe, Secretary.
Overview
| NPI | 1154893600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2018 |
| Last updated in NPPES | Jul 13, 2026 |
| Certified by provider | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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