Active NPI
Paragon Hemophilia Solutions LLC
- Specialty Pharmacy
- Vancouver, WA
National Provider Identifier
1821619644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- PARAGON HEMOPHILIA SOLUTIONS LLC
- Practice address
- 300 W 15TH St Ste 203
Vancouver, WA 98660-2911 - Phone
- (360) 524-7182
- Fax
- (360) 524-7183
- NPI assigned
- May 4, 2020
- Organization subpart
- Yes
- Parent organization
- PARAGON HEALTHCARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Maroulis, PHARMD
- Title
- Vice President
- Phone
- (689) 263-5021
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
300 W 15TH St Ste 203
Vancouver, WA 98660-2911
Mailing address
3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5885
Phone (833) 862-4559
Other names 1
- Paragon Infusion
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PHSLicensing@paragonhealthcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210201001297 | WA | Part B Supplier - Pharmacy | 9537242862 | Practice locations: Vancouver, WA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Paragon Hemophilia Solutions LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Bowling Green, KY
- NPI 1255600011
-
- Specialty Pharmacy
- Hendersonville, TN
- NPI 1467724153
-
- Specialty Pharmacy
- Plano, TX
- NPI 1114058534
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1235813551
-
- Specialty Pharmacy
- Cincinnati, OH
- NPI 1457939480
Locations
17111 Preston Rd
Ste 150
Dallas, TX 75248
Phone (888) 588-1072
Interoperability endpoints
- phslicensing@paragonhealthcare.com
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Vancouver, WA
- NPI 1114316700
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Vancouver, WA
- NPI 1023450921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1821619644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750755885",
"telephone_number": "833-862-4559",
"fax_number": "855-862-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 15TH ST STE 203",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986602911",
"telephone_number": "360-524-7182",
"fax_number": "360-524-7183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON HEMOPHILIA SOLUTIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARAGON HEALTHCARE, INC.",
"enumeration_date": "2020-05-04",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "MAROULIS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "689-263-5021",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PHSLicensing@paragonhealthcare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 W 15th St Ste 203",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986602911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Paragon Infusion",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paragon Infusion",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.