Provider Demographics
NPI:1275586810
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:847-913-9024
Practice Address - Street 1:10924 JOHN GALT BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2309
Practice Address - Country:US
Practice Address - Phone:402-331-0980
Practice Address - Fax:402-331-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 333600000X
NE197261QI0500X, 332B00000X, 332BP3500X, 332BX2000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185623902 (HH)Medicaid
NM19431279 (DME)Medicaid
MI2814691 (RX)Medicaid
KY7100037620 (DME)Medicaid
ILEIN 009Medicaid
SD9162820 (DME)Medicaid
AR161827407 (RX)Medicaid
OK200074390B (DME)Medicaid
MO626065700 (DME)Medicaid
AL009935599 (DME)Medicaid
GA179735448D (DME)Medicaid
MI489467101 (DME)Medicaid
MO606065704 (RX)Medicaid
AL100390005 (RX)Medicaid
2814691OtherNCPDP
NM03458857 (RX)Medicaid
MS07774369 (DME)Medicaid
AR178608733 (TPN)Medicaid
OK200074390A (RX)Medicaid
KY7100120070Medicaid
MS03851069 (RX)Medicaid
ID0946954Medicaid
MN1275586810Medicaid
LA1414930 (RX)Medicaid
AR178597716 (DME)Medicaid
GA179735448C (RX)Medicaid
TX580118Medicaid
KY7100095890 (RX)Medicaid
NEEIN AND 00Medicaid
099269OtherMEDICARE B LOCAL
TX185623901 (DME)Medicaid
SD8534170 (RX)Medicaid
MI2814691 (RX)Medicaid