NPIMap

Organization Active NPI

Innovative Pharmacy Services, LLC

Doing business as Paragon Infusion Pharmacies

  • Specialty Pharmacy
  • Overland, MO
National Provider Identifier
1902590557
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
Doing business as
Paragon Infusion Pharmacies
Practice address
1990 Innerbelt Business Center Dr
Overland, MO 63114-5760
Phone
(314) 876-0002
NPI assigned
Jun 6, 2023
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
INNOVATIVE PHARMACY SERVICES, LLCAs 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

1990 Innerbelt Business Center Dr
Overland, MO 63114-5760

Mailing address

1990 Innerbelt Business Center Dr
Overland, MO 63114-5760
Phone (314) 876-0002

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.

Locations

1990 Innerbelt Business Center Dr
Overland, MO 63114
Phone (314) 876-0001

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": "1902590557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 INNERBELT BUSINESS CENTER DR",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145760",
            "telephone_number": "314-876-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 INNERBELT BUSINESS CENTER DR",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145760",
            "telephone_number": "314-876-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE PHARMACY SERVICES, LLC",
        "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 Overland, MO

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.