Paragon Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30072 Issued in TX

Legal business name

PARAGON SPECIALTY PHARMACY, LLC

Practice address

2920 Motley Dr
Suite 800
Mesquite, TX 75150

Phone

(855) 355-3552

Fax

(855) 355-3554

NPI assigned

Jul 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ulfat U Nisa, RPHNPI 1568901064

Title

Officer

Phone

(855) 355-3552

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ulfat Nisa

  • Pharmacist
  • Mesquite, TX
  • NPI 1568901064
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1083099485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 MOTLEY DR",
            "address_2": "SUITE 800",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "855-355-3552",
            "fax_number": "855-355-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MOTLEY DR",
            "address_2": "SUITE 800",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "855-355-3552",
            "fax_number": "855-355-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "NISA",
        "authorized_official_first_name": "ULFAT",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "855-355-3552",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Palacios, DC
• Palomino Continuing Care Center LTD. Co.
• Mouctika Lakshmi Paluri, MD
• Anbu V. Pandian, MD
• Edward Panousieris, DO
• Palak S Parikh, M.D.
• Suzan Park, OD
• Amy Lea Parker, PA-C
• Kemiya Parker
• Solomon Parker

• Community/Retail Pharmacy in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.