Active NPI
Paragon Hemophilia Solutions LLC
- Specialty Pharmacy
- Plano, TX
National Provider Identifier
1114058534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 25453
- Legal business name
- PARAGON HEMOPHILIA SOLUTIONS LLC
- Practice address
- 3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5752 - Phone
- (888) 588-1072
- Fax
- (866) 388-1488
- NPI assigned
- Mar 8, 2007
- 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
- Nicholas Maroulis, PHARMD
- Title
- Vice President
- Phone
- (689) 263-5021
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | 25453 | TX | |
| Specialty Pharmacy | 3336S0011X | 25453 | TX | Primary |
Addresses
Primary practice location
3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5752
Mailing address
3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5885
Phone (972) 588-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149518 | Medicaid | TX | |
| PH0618 | Other | TX | MEDICARE LOCAL CARRIER - TRAILBLAZER HEALTH SERVICES |
| 200662540 | Medicaid | OK |
Other names 1
- Paragon Healthcare Specialty, LLC
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 TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170929001654 | TX | Part B Supplier - Pharmacy | 9537242862 | Practice locations: Plano, TX |
| O20180306002166 | TX | DME Supplier - Pharmacy | 9537242862 | Practice locations: Plano, TX |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Paragon Hemophilia Solutions LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1235813551
-
- Specialty Pharmacy
- Bowling Green, KY
- NPI 1255600011
-
- Specialty Pharmacy
- Hendersonville, TN
- NPI 1467724153
-
- Specialty Pharmacy
- Cincinnati, OH
- NPI 1457939480
-
- Specialty Pharmacy
- Vancouver, WA
- NPI 1821619644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1114058534",
"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": "972-588-1000",
"fax_number": "866-388-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750755752",
"telephone_number": "888-588-1072",
"fax_number": "866-388-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON HEMOPHILIA SOLUTIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARAGON HEALTHCARE, INC.",
"enumeration_date": "2007-03-08",
"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": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "TX",
"license": "25453",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "TX",
"license": "25453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149518",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LOCAL CARRIER - TRAILBLAZER HEALTH SERVICES",
"identifier": "PH0618",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200662540",
"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": "3033 W President George Bush Hwy Ste 100B",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750755752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Paragon Healthcare Specialty, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paragon Healthcare Specialty, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plano, TX
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.