Origin Healthlink LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1680000167 Issued in CO

Legal business name

ORIGIN HEALTHLINK LLC

Doing business as

Paragon Pharmacy

Practice address

7720 S Broadway Ste 100
Littleton, CO 80122-2624

Phone

(720) 627-6123

Fax

(720) 627-6129

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Uyen LeNPI 1174048003

Title

Pharmacy Manager

Phone

(720) 627-6123

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Paragon Pharmacy Doing business as

Practitioners 2

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

• Uyen Hoang Le, RPH

  • Pharmacist
  • Littleton, CO
  • NPI 1174048003
  NPD Authorized official
• Obinna Michael Van-Lare, PHARM.D.

  • Pharmacist
  • Littleton, CO
  • NPI 1275178725
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1114414604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "720-627-6123",
            "fax_number": "720-627-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "720-627-6123",
            "fax_number": "720-627-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HEALTHLINK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "720-627-6123"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1680000167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114414604",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Littleton, CO
• Providers in Littleton, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.