Kingsley Agyemang
Individual provider Active NPI Pharmacist · Cedar Hill, TX
NPI 1255198537 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1255198537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 39520 (TX)
- Practice address
- 501 E Belt Line Rd
Cedar Hill, TX 75104-2210 - Phone
- (972) 291-2787
- NPI assigned
- Mar 4, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39520 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savcop LTD | Current | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39520 | TX | Yes |
Addresses
Primary practice location
501 E Belt Line Rd
Cedar Hill, TX 75104-2210
Mailing address
2436 Clear Creek CT
Cedar Hill, TX 75104-5620
Phone (817) 692-6335
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.