Active NPI
Allwell C Mbagwu, PHARM.D
- Pharmacist
- Humble, TX
National Provider Identifier
1164002598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44668
- Practice address
- 20030 W Lake Houston Pkwy
Humble, TX 77346-3177 - Phone
- (281) 852-4700
- NPI assigned
- Apr 9, 2021
- Last updated
- Apr 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44668 | TX | Primary |
Addresses
Primary practice location
20030 W Lake Houston Pkwy
Humble, TX 77346-3177
Mailing address
2123 Laurel Creek Dr
Houston, TX 77014-2468
Phone (713) 480-2132
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CVSHEALTH | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44668 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Locations
20030 W Lake Houston Pkwy
Humble, TX 77346
Phone (281) 852-4700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1164002598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 LAUREL CREEK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142468",
"telephone_number": "713-480-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20030 W LAKE HOUSTON PKWY",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463177",
"telephone_number": "281-852-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAGWU",
"first_name": "ALLWELL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44668",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CVSHEALTH",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20030 W Lake Houston Pkwy",
"city": "Humble",
"state": "TX",
"country_code": "US",
"postal_code": "773463177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.