Organization Active NPI

Paragon Compounding Pharmacy, Inc

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1962870634
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARAGON COMPOUNDING PHARMACY, INC
Practice address
1585 West Broadway Suite a
Anaheim, CA 92802
Phone
(714) 707-5099
Fax
(714) 707-4051
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. Josephhung Tran Nguyen, PHARM D
Title
Ceo
Phone
(714) 388-6488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1585 West Broadway Suite a
Anaheim, CA 92802

Mailing address

PO Box 937
Anaheim, CA 92815-0937
Phone (714) 707-5099

Other identifiers 1

IdentifierTypeStateIssuer
55967OtherCAPHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

1585 W Broadway
Ste A
Anaheim, CA 92802
Phone (714) 707-5099

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1962870634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928150937",
            "telephone_number": "714-707-5099",
            "fax_number": "714-707-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WEST BROADWAY SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92802",
            "telephone_number": "714-707-5099",
            "fax_number": "714-707-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON COMPOUNDING PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOSEPHHUNG",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-388-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "55967",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.