Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optum Infusion Services 302, LLC

Organization Compounding Pharmacy · NPI 1245564012

Optum Infusion Services 302, LLC is a Compounding Pharmacy in LA Vista, Nebraska. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8720 S 114th St Ste 106
LA Vista, NE 68128
Phone: (855) 295-3154
Fax: (844) 204-8056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Infusion Therapy Pharmacy (primary) Taxonomy 3336H0001X
Compounding Pharmacy Taxonomy 3336C0004X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1245564012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise McCabe — Secretary · (952) 935-1191
NPI enumeratedSeptember 28, 2009
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address1 Optum Cir Ste 100, Eden Prairie, MN 55344-2956