Upthrust Pharmacy and Pharmacal Limited Liability Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

UPTHRUST PHARMACY AND PHARMACAL LIMITED LIABILITY COMPANY

Practice address

17119 FM 362 Rd
Waller, TX 77484-9317

Phone

(936) 372-8044

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Akinjide Agbodo, PHARMDNPI 1508148966

Title

Pharmacist

Phone

(832) 745-9144

Specialties & licenses 1

Addresses

Other names 1

• Upthrust Pharmacy and Pharmacal Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akinjide Agbodo

  • Pharmacist
  • Waller, TX
  • NPI 1508148966
  NPD Authorized official

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1104636869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17119 FM 362 RD",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774849317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17119 FM 362 RD",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774849317",
            "telephone_number": "936-372-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTHRUST PHARMACY AND PHARMACAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "AGBODO",
        "authorized_official_first_name": "AKINJIDE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "832-745-9144",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upthrust Pharmacy and Pharmacal",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sandra Lee Thackeray
• Theirbirthright, Inc.
• Together Ranch PLLC
• Tomagwa Ministries, Inc
• Quoc Dung Tran, LPC, LCDC
• Gina Valdez, SLP
• Vintage Therapeutics Inc
• Jason Vogel
• Waller Dental Associates PA
• Waller Family Eyecare

• Community/Retail Pharmacy in Waller, TX
• Providers in Waller, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.

Verify at the official NPI Registry.