Active NPI
Pathwrite, Inc.
- Home Infusion Therapy Pharmacy
- Oklahoma City, OK
National Provider Identifier
1053924308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- PATHWRITE, INC.
- Practice address
- 1111 N Lee Ave Ste 248
Oklahoma City, OK 73103-2600 - Phone
- (405) 766-6588
- Fax
- (405) 766-6717
- NPI assigned
- Aug 26, 2020
- Organization subpart
- Yes
- Parent organization
- PARAGON HEALTHCARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Mulderry
- Title
- President
- Phone
- (972) 588-1000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1111 N Lee Ave Ste 248
Oklahoma City, OK 73103-2600
Mailing address
1111 N Lee Ave Ste 248
Oklahoma City, OK 73103-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-8767 | Other | OK | PHARMACY LICENSE |
Other names 1
- Paragon Infusion Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LicensingTeam@paragonhealthcare.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- McConnell Afb, KS
- NPI 1851401327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1053924308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N LEE AVE STE 248",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N LEE AVE STE 248",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-766-6588",
"fax_number": "405-766-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWRITE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARAGON HEALTHCARE, INC.",
"enumeration_date": "2020-08-26",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "MULDERRY",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-588-1000"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "1-8767",
"state": "OK"
}
],
"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": "1111 N Lee Ave Ste 248",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731032600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Paragon Infusion Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paragon Infusion Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.