Organization Active NPI

Paragon Pharmacy, LLC

  • Community/Retail Pharmacy
  • Little Rock, AR
National Provider Identifier
1417458829
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARAGON PHARMACY, LLC
Practice address
14524 Cantrell Rd Ste 100a
Little Rock, AR 72223-4700
Phone
(877) 245-7344
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Hunter Hogan, DPH
Title
Operations Manager
Phone
(405) 418-2929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

14524 Cantrell Rd Ste 100a
Little Rock, AR 72223-4700

Mailing address

5401 N Portland Ave Ste 260
Oklahoma City, OK 73112-2082

Other identifiers 1

IdentifierTypeStateIssuer
AR20892OtherARAR STATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

14524 Cantrell Rd
Ste 100A
Little Rock, AR 72223
Phone (844) 381-7873

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1417458829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE STE 260",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 CANTRELL RD STE 100A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234700",
            "telephone_number": "877-245-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "405-418-2929",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE BOARD OF PHARMACY",
            "identifier": "AR20892",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.