Organization Active NPI

Paragon Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Escondido, CA
National Provider Identifier
1346705175
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARAGON PHARMACY SERVICES INC
Practice address
1111 E Washington Ave Ste C
Escondido, CA 92025-2226
Phone
(760) 755-7880
Fax
(760) 755-7882
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Authorized official

Name
Mr. Mehul Nanubhai PadshalaNPI 1548692973
Title
Cheif Executive Officer
Phone
(256) 335-1835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1111 E Washington Ave Ste C
Escondido, CA 92025-2226

Mailing address

1111 E Washington Ave Ste C
Escondido, CA 92025-2226
Phone (760) 755-7889

Other names 1

  • EXPRESS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211013003556 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7315345881 Practice locations: Escondido, CA
O20211210001572 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7315345881 Practice locations: Escondido, CA

National Provider Directory

National Provider Directory
Tax ID family
Express Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 E Washington Ave
Ste C
Escondido, CA 92025
Phone (760) 755-7880

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1346705175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E WASHINGTON AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252226",
            "telephone_number": "760-755-7889",
            "fax_number": "760-755-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E WASHINGTON AVE STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252226",
            "telephone_number": "760-755-7880",
            "fax_number": "760-755-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "PADSHALA",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_middle_name": "NANUBHAI",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "256-335-1835",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.