MEDICARE: PARAGON HEMOPHILIA SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336H0001X	Home Infusion Therapy Pharmacy
2	3336S0011X	Specialty Pharmacy

General Provider Information

NPI Number	:	1457939480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAGON HEMOPHILIA SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	3033 W PRESIDENT GEORGE BUSH HWY STE 100B
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5885
Country	:	US
Telephone Number	:	833-862-4559
Fax Number	:	855-862-4373

Provider Business Practice Location Address
First Line	:	4050 EXECUTIVE PARK DR STE 203
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2089
Country	:	US
Telephone Number	:	513-600-8513
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	NICHOLAS MAROULIS
Credential	:	PHARMD
Telephone Number	:	689-263-5021

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	06/05/2026

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