Organization Active NPI

Innovative Pharmacy Services LLC

  • Specialty Pharmacy
  • Largo, FL
National Provider Identifier
1558055194
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
INNOVATIVE PHARMACY SERVICES LLC
Practice address
7381 114TH Ave Ste 402
Largo, FL 33773-5131
Phone
(727) 268-8982
NPI assigned
Jun 6, 2023
Organization subpart
Yes
Parent organization
PARAGON HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Amy Mulderry
Title
President
Phone
(972) 588-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

7381 114TH Ave Ste 402
Largo, FL 33773-5131

Mailing address

7381 114TH Ave Ste 402
Largo, FL 33773-5131
Phone (727) 268-8982

Other names 1

  • Paragon Infusion Pharmacies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Pharmacy Services LLC3 organizations share this tax ID, including this one
Part of
Innovative Pharmacy Services LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1558055194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 114TH AVE STE 402",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735131",
            "telephone_number": "727-268-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 114TH AVE STE 402",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735131",
            "telephone_number": "727-268-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAGON HEALTHCARE, INC.",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MULDERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-588-1000"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Infusion Pharmacies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paragon Infusion Pharmacies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.