Paragon Infusion Therapy, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PMY022859000-03 Issued in OH

Legal business name

PARAGON INFUSION THERAPY, LLC

Practice address

1746 Thomas Paine Pkwy
Centerville, OH 45459

Phone

(866) 346-9866

Fax

(855) 633-4357

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Aaron M Braden

Title

Owner

Phone

(866) 346-9866

Specialties & licenses 4

Addresses

Other names 1

• Vital Care of Dayton Doing business as

Locations

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1689179855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 THOMAS PAINE PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592541",
            "telephone_number": "866-346-9866",
            "fax_number": "855-633-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 THOMAS PAINE PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "866-346-9866",
            "fax_number": "855-633-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON INFUSION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-346-9866"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "PMY022859000-03",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "PMY022859000-03",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "PMY022859000-03",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OH",
            "license": "PMY022859000-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swapna Reddy Pallerla, MD
• Gary D Palmer, MD
• Gary John Palmer, M.D.
• Jack Pan
• Theresa Pankey, RN.380123
• Paragon Therapy Group LLC
• Amy Marie Park, DO
• Lloyd Hoehle Parker, DO
• Marie Bernadine Parks
• Andrew James Parrish, MD

• Home Infusion Therapy Pharmacy in Centerville, OH
• Providers in Centerville, OH by specialty
• Home Infusion Therapy Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.