Provider Demographics
NPI:1003111782
Name:OPTION CARE ENTERPRISES INC
Entity Type:Organization
Organization Name:OPTION CARE ENTERPRISES INC
Other - Org Name:OPTION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-6137
Mailing Address - Street 1:4222 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0042
Mailing Address - Country:US
Mailing Address - Phone:800-879-6137
Mailing Address - Fax:847-332-0298
Practice Address - Street 1:131 RACINE DR
Practice Address - Street 2:SUITE 100B
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8781
Practice Address - Country:US
Practice Address - Phone:910-791-7885
Practice Address - Fax:910-791-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1003111782Medicaid
3458850OtherNCPDP
SCDM1427Medicaid
NC6800518Medicaid
NC0656340Medicaid
NC7705308Medicaid
NC7705308Medicaid
NC6800518Medicaid