PARAGON COMPOUNDING PHARMACY, INC (NPI# 1962870634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962870634 |
| Entity Type | Organization |
| Organization Name | PARAGON COMPOUNDING PHARMACY, INC |
| Practice Address |
1585 West Broadway Suite A Anaheim CA 92802 |
| Mailing Address |
Po Box 6094 Santa Ana CA 92706-0094 |
| Practice Telephone | 7147075099 |
| Practice Fax Number | 7147074051 |
| Mailing Telephone | 7147075099 |
| Mailing Fax Number | 7147074051 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | DR. JOSEPHHUNG TRAN NGUYEN (CEO) |
| Authorized Official Telephone | 7143886488 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
53477 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY LICENSE | 55967 | 01 |
| CA | PHARMACY LICENSE | 53477 | 01 |
| Street Address |
1585 WEST BROADWAY SUITE A |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| 1285760785 | Edwin Stanley Akamine | Dentist | 1314 S Euclid St Suite 206, Anaheim, CA 92802 | 2007-02-26 |
| Find all providers in zip 92802 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1871033514 | Alliance Pharmacy, Inc | Pharmacy | 1585 W Broadway, Suite B, Anaheim, CA 92802-1358 | 2017-02-28 |
| 1306182175 | Pharmacy Alternatives California, LLC | Pharmacy | 2940 E La Palma Ave, Suite A, Anaheim, CA 92806-2619 | 2012-12-22 |
| 1073589982 | U.d.alpha Pharmacy Inc. | Pharmacy | 515 S Beach Blvd, A, Anaheim, CA 92804-1812 | 2006-02-28 |
| 1831613231 | Guardian Pharmacy of Southern California LLC | Pharmacy | 184 E Liberty Ave, Anaheim, CA 92801-1011 | 2017-07-28 |
| 1063848851 | Shiv Corporation Inc | Pharmacy | 1223 N Euclid St, Anaheim, CA 92801-1954 | 2013-09-24 |
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| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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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.