Active NPI
Paragon Pharmacy Services Inc
- Community/Retail Pharmacy
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mehul Nanubhai Padshala
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Escondido, CA
- NPI 1043056369
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.
-
- Pharmacist
- Escondido, CA
- NPI 1548692973
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.