PARAGON HEMOPHILIA SOLUTIONS LLC (NPI# 1114058534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114058534 |
Entity Type | Organization |
Organization Name | PARAGON HEMOPHILIA SOLUTIONS LLC |
Other Organization Name | PARAGON HEALTHCARE SPECIALTY, LLC |
Practice Address |
17111 Preston Rd Suite 150 Dallas TX 75248-1229 |
Mailing Address |
17111 Preston Rd Suite 100 Dallas TX 75248-1229 |
Practice Telephone | 8885881072 |
Practice Fax Number | 8663881488 |
Mailing Telephone | 8665881072 |
Mailing Fax Number | 8663881488 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-11-03 |
Authorized Official Name | MR. LARRY J BRAYTON (EXECUTIVE VP, CSO) |
Authorized Official Telephone | 9725881050 |
Is Organization Subpart | Y |
Parent Organization Name | PARAGON HEALTHCARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
25453 | TX | Suppliers |
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
25453 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 149518 | 05 | |
OK | 200662540 | 05 | |
TX | MEDICARE LOCAL CARRIER - TRAILBLAZER HEALTH SERVICES | PH0618 | 01 |
Other Name | Type Code |
---|---|
Paragon Healthcare Specialty, LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821619644 | Paragon Hemophilia Solutions LLC | Pharmacy | 300 W 15th St Ste 203, Vancouver, WA 98660-2911 | 2020-05-04 |
1154866036 | Paragon Hemophilia Solutions LLC | Pharmacy | 17111 Preston Rd Ste 150, Dallas, TX 75248-1232 | 2016-12-30 |
Street Address |
17111 PRESTON RD SUITE 150 |
City | DALLAS |
State | TX |
Zip Code | 75248-1229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962550608 | Paragon Infusion Care Inc | Durable Medical Equipment & Medical Supplies | 17111 Preston Rd, Suite 160b, Dallas, TX 75248-1229 | 2007-01-08 |
1467608893 | Paragon Infusion Care, Inc | Durable Medical Equipment & Medical Supplies | 17111 Preston Rd, Ste 160b, Dallas, TX 75248-1229 | 2008-08-18 |
1437343779 | Marie Elizabeth Groves | Dietitian, Registered | 17111 Preston Rd, Suite 100, Dallas, TX 75248-1229 | 2007-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
Find all providers in zip 75248 |
Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790014124 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2924 Oak Lawn Ave, Dallas, TX 75219-4131 | 2009-12-14 |
1922069525 | Ivedco, LLC | Pharmacy | 4950 Westgrove Dr, Dallas, TX 75248-1924 | 2006-03-31 |
1376151704 | Abdul Hameed | Pharmacy | 4309 Lemmon Ave, Dallas, TX 75219-2706 | 2020-07-22 |
1972012128 | Tri County Compounding Inc | Pharmacy | 111a N Hoffman St, Dallas, NC 28034-1597 | 2017-09-20 |
1104233030 | Pharmacy Preferred Physicians, LLC | Pharmacy | 17300 Dallas Pkwy, Suite 1080a, Dallas, TX 75248-1145 | 2014-07-11 |
1972800167 | Envoyrx LLC | Pharmacy | 2929 Carlisle St, Suite 115, Dallas, TX 75204-1084 | 2011-02-24 |
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1427697382 | Mpns Pharmacy Mgt LLC | Pharmacy | 7201 Wyoming Springs Dr Ste 301, Round Rock, TX 78681-4311 | 2019-12-24 |
1386289254 | Dreamcare Pharmacy LLC | Pharmacy | 7616 Branford Pl Ste 330, Sugar Land, TX 77479-3794 | 2019-11-14 |
1194378000 | Recept Pharmacy, Lp | Pharmacy | 209 Saint Louis Ave Ste 101, Fort Worth, TX 76104-1231 | 2019-07-19 |
1497314132 | Zikam Neighborhood Pharmacy LLC | Pharmacy | 17323 Ih 35 N Ste 100, Schertz, TX 78154-1278 | 2019-06-06 |
1932692571 | Bsa Harrington Physicians Inc | Pharmacy | 1500 Wallace Blvd Ste B, Amarillo, TX 79106-1794 | 2018-06-08 |
1154810760 | Doughertys Pharmacy Legacy LLC | Pharmacy | 6501 Legacy Dr Ste P, Plano, TX 75024-3612 | 2018-05-09 |
1578075974 | Ab Pharmacy Inc. | Pharmacy | 1401 E. Ridge Rd, Unit-b, Mcallen, TX 78503-1525 | 2017-10-26 |
1629589536 | Ab Pharmacy Inc. | Pharmacy | 1401 E. Ridge Rd, Unit-b, Unit-b, Mcallen, TX 48503-1525 | 2017-10-18 |
1346759651 | Inkrx,llc | Pharmacy | 11398 Bandera Rd Ste 302, San Antonio, TX 78250-6843 | 2017-09-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.