Organization Active NPI

Halocare Specialty Therapeutics, LLC

  • Specialty Pharmacy
  • Denham Springs, LA
National Provider Identifier
1043640550
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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

Updated by the provider on Jun 5, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2202511MedicaidLA
PHY044485OtherLACDS
08679218MedicaidMS

Other names 1

  • Paragon Infusion Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LicensingTeam@paragonhealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228000556 LA Part B Supplier - Pharmacy 1052542776 Practice locations: Denham Springs, LA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.