Active NPI
Paragon Infusion Care, Inc.
Doing business as Paragon Infusion Care
- Home Infusion Therapy Pharmacy
- San Antonio, TX
National Provider Identifier
1831324045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 26457
- Legal business name
- PARAGON INFUSION CARE, INC.
- Doing business as
- Paragon Infusion Care
- Practice address
- 1922 Dry Creek Way Ste 110
San Antonio, TX 78259-1840 - Phone
- (210) 591-6700
- Fax
- (210) 495-0453
- NPI assigned
- May 18, 2009
- Last updated
- Nov 12, 2024
- 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
- Amy Mulderry
- Title
- President
- Phone
- (972) 588-1000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 26457 | TX | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1922 Dry Creek Way Ste 110
San Antonio, TX 78259-1840
Mailing address
3033 W President George Bush Hwy Ste 100
Plano, TX 75075-5752
Phone (972) 588-1000
Other names 1
- PARAGON INFUSION CARE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LicensingTeam@paragonhealthcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210818002720 | TX | Part B Supplier - Home Infusion Therapy Supplier | 7113029547 |
2 other NPIs on this enrollment Practice locations: Houston, TX; Plano, TX; San Antonio, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1831324045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750755752",
"telephone_number": "972-588-1000",
"fax_number": "866-491-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 DRY CREEK WAY STE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782591840",
"telephone_number": "210-591-6700",
"fax_number": "210-495-0453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON INFUSION CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"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": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "TX",
"license": "26457",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LicensingTeam@paragonhealthcare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1922 Dry Creek Way Ste 110",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782591840",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "PARAGON INFUSION CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PARAGON INFUSION CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Antonio, TX
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.