Maryam Adagun, PHARMACIST INTERN

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kingsville, TX

NPI 1407770654 · NPPES record last updated Aug 8, 2026

Key facts

NPI
1407770654
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
44980 (TX)
Practice address
1010 W Avenue B
Kingsville, TX 78363-4289
Phone
(361) 221-0604
NPI assigned
Aug 8, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 44980 TX Yes

Addresses

Primary practice location

1010 W Avenue B
Kingsville, TX 78363-4289

Mailing address

400 Bizzell St
College Station, TX 77843-0001

Other providers in Kingsville, TX

All providers in Kingsville, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.