Healthcare Provider Details

I. General information

NPI: 1104914308
Provider Name (Legal Business Name): OPTION CARE ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 S 70TH ST SUITE 2
LINCOLN NE
68516-4204
US

IV. Provider business mailing address

2769 PAYSPHERE CIR
CHICAGO IL
60674-0027
US

V. Phone/Fax

Practice location:
  • Phone: 402-423-1333
  • Fax: 402-423-7910
Mailing address:
  • Phone: 800-879-6137
  • Fax: 847-913-9024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number2626
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number2626
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number2626
License Number StateNE

VIII. Authorized Official

Name: MICHAEL SHAPIRO
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137