PARAGON HEMOPHILIA SOLUTIONS LLC (NPI# 1821619644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821619644 |
| Entity Type | Organization |
| Organization Name | PARAGON HEMOPHILIA SOLUTIONS LLC |
| Practice Address |
300 W 15th St Ste 203 Vancouver WA 98660-2911 |
| Mailing Address |
17111 Preston Rd Ste 150 Dallas TX 75248-1232 |
| Practice Telephone | 8338624559 |
| Practice Fax Number | 8558624373 |
| Mailing Telephone | 8338624559 |
| Mailing Fax Number | 8558624373 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | LARRY JOE BRAYTON (CHIEF STRATEGY OFFICER / EVP) |
| 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 |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Paragon Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154866036 | Paragon Hemophilia Solutions LLC | Pharmacy | 17111 Preston Rd Ste 150, Dallas, TX 75248-1232 | 2016-12-30 |
| 1114058534 | Paragon Hemophilia Solutions LLC | Pharmacy | 17111 Preston Rd, Suite 150, Dallas, TX 75248-1229 | 2007-03-08 |
| Street Address |
300 W 15TH ST STE 203 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114316700 | Anton Wang | Pharmacist | 300 W 15th St Ste 203, Vancouver, WA 98660-2911 | 2015-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| 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 |
|---|---|---|---|---|
| 1013089382 | Procare Pharmacy LLC | Pharmacy | 1001 Madison St, Seattle, WA 98104-1263 | 2006-11-14 |
| 1922013549 | Schwabs Compounding Pharmacy | Pharmacy | 108 B Railroad Ave, Kittitas, WA 98934 | 2006-07-30 |
| 1275589830 | Accredo Health Group Inc | Pharmacy | 22623 68th Ave S, Kent, WA 98032-1981 | 2006-05-25 |
| 1801442629 | Healthpoint | Pharmacy | 947 Powell Ave Sw, Renton, WA 98057-2975 | 2019-08-16 |
| 1811252687 | Peacehealth | Pharmacy | 1615 Delaware St, Longview, WA 98632-2367 | 2012-07-09 |
| 1962532275 | Pharmaceutical Systems Inc | Pharmacy | 345 Monterra Dr, Port Angeles, WA 98362-9574 | 2007-03-06 |
| 1124197330 | Apria Healthcare, Inc. | Pharmacy | 14935 Ne 87th St, Redmond, WA 98052-3474 | 2006-11-06 |
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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.