P Praxis·MD
● Active Type 2 · Organization

Optum Pharmacy 704, Inc.

Pharmacy·San Antonio, TX· NPI 1457408536 · Enumerated 2007 · 19 years on NPI
Optum Pharmacy 704, Inc. is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2007-01-04
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 5625 active pharmacy providers in Texas.

NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
5627 University Hts Ste 108
San Antonio, TX 782493583
📞 8554274682fax 8773424596
Mailing address
1 Optum Cir Ste 100
Eden Prairie, MN 553442503
📞 8003285979

Authorized official

Kevin Eugene Burr
Secretary
📞 7123104701

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    taxonomy 3336C0003X
  • Pharmacy
    A 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...
    taxonomy 333600000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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