NPI age
7 years
Enumerated 2018-12-21
● Active Type 2 · Organization
Optum Pharmacy 704, Inc.
Optum Pharmacy 704, Inc. is 1 of 48 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Burr
Secretary
Last NPPES update
2024-12-04
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Texas.
NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-12Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
5627 University Hts Ste 108
San Antonio, TX 782493583
Mailing address
1 Optum Cir Ste 100
Eden Prairie, MN 553442503
Authorized official
Kevin Eugene Burr
Secretary
📞 7123104701
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Stephanie Burck Pharmacist NPI 1134948441
- Atit Parikh, PHARM.D. Pharmacist NPI 1902350762
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.