Active NPI
Halocare Specialty Therapeutics, LLC
- Specialty Pharmacy
- Denham Springs, LA
National Provider Identifier
1043640550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- HALOCARE SPECIALTY THERAPEUTICS, LLC
- Practice address
- 34972 Old la Highway 16 Ste a
Denham Springs, LA 70706-0573 - Phone
- (225) 791-4225
- Fax
- (225) 243-7957
- NPI assigned
- Nov 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Maroulis, PHARMD
- Title
- Vice President
- Phone
- (689) 263-5021
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 006842 | LA | |
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
34972 Old la Highway 16 Ste a
Denham Springs, LA 70706-0573
Mailing address
3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5885
Phone (225) 791-4225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202511 | Medicaid | LA | |
| PHY044485 | Other | LA | CDS |
| 08679218 | Medicaid | MS |
Other names 1
- Paragon Infusion
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LicensingTeam@paragonhealthcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221228000556 | LA | Part B Supplier - Pharmacy | 1052542776 | Practice locations: Denham Springs, LA |
National Provider Directory
National Provider DirectoryLocations
34972 Old La Highway 16
#A
Denham Springs, LA 70706
Phone (225) 791-4225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1043640550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750755885",
"telephone_number": "225-791-4225",
"fax_number": "225-243-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34972 OLD LA HIGHWAY 16 STE A",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707060573",
"telephone_number": "225-791-4225",
"fax_number": "225-243-7957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALOCARE SPECIALTY THERAPEUTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-19",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "MAROULIS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "689-263-5021",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "LA",
"license": "006842",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2202511",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "PHY044485",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08679218",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LicensingTeam@paragonhealthcare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "34972 Old La Highway 16 Ste A",
"city": "Denham Springs",
"state": "LA",
"country_code": "US",
"postal_code": "707060573",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Paragon Infusion",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.