Linda Nwanneka Agbazue, PHARM.D. – Pharmacist

Key facts

NPI: 1346733482
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 53825 (TX)
Practice address: 14021 Stuebner Airline Rd
Houston, TX 77069-4609
Phone: (281) 440-1604
NPI assigned: Jun 13, 2018
Reactivated: Sep 1, 2020
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Walgreen Co Pharmacy · Houston, TX · NPI 1598772493

NPD (past)
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
53825	TX	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Past	Accepting new patients
Walgreen Co		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	53825	TX	Yes

Addresses

Primary practice location

14021 Stuebner Airline Rd
Houston, TX 77069-4609

Mailing address

PO Box 6282
Katy, TX 77491-6282
Phone (832) 273-0079

Other names

Linda Nwanneka Mbah Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 1, 2020.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1346733482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6282",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774916282",
            "telephone_number": "832-273-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 STUEBNER AIRLINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694609",
            "telephone_number": "281-440-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAZUE",
        "first_name": "LINDA",
        "middle_name": "NWANNEKA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "deactivation_date": "2019-04-26",
        "reactivation_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MBAH",
            "middle_name": "NWANNEKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

All providers in Houston, TX · Pharmacist in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. 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.

Verify at the official NPI Registry.