PARAGON COMPOUNDING PHARMACY INC NPI 1962870634

NPI Information

NPI: 1962870634
Provider Name: PARAGON COMPOUNDING PHARMACY, INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1585 WEST BROADWAY SUITE A
ANAHEIM, CA
ZIP 92802
Phone: (714) 707-5099
Get Directions

PARAGON COMPOUNDING PHARMACY, INC is a long term care pharmacy pharmacy in Anaheim, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PARAGON COMPOUNDING PHARMACY, INC NPI is 1962870634. The provider is registered as an organization entity type.

The provider's business location address is:

1585 WEST BROADWAY SUITE A
ANAHEIM, CA
ZIP 92802
Phone: (714) 707-5099
Fax: (714) 707-4051

The provider's authorized official is Josephhung Tran Nguyen .
The authorized official title is Ceo and has the following contact phone number (714) 388-6488.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 1/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy	53477	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55967	OTHER	CALIFORNIA	PHARMACY LICENSE
2	53477	OTHER	CALIFORNIA	PHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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