Adwoa Aboagye, PHARMD
Individual provider Active NPI Ambulatory Care Pharmacist · Houston, TX
NPI 1609309202 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1609309202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- 56061 (TX)
- Practice address
- 9105 N Wayside Dr
Houston, TX 77028-1030 - Phone
- (713) 696-7101
- NPI assigned
- Apr 10, 2017
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049151637 | IL | MD | Ambulatory Care Pharmacist |
| 051294363 | MI | MD | Ambulatory Care Pharmacist |
| 56061 | TX | MD | Ambulatory Care Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 051294363 | MI | |
| Ambulatory Care Pharmacist | 1835P2201X | 049151637 | IL | |
| Ambulatory Care Pharmacist | 1835P2201X | 56061 | TX | Yes |
Addresses
Primary practice location
9105 N Wayside Dr
Houston, TX 77028-1030
Mailing address
9105 N Wayside Dr
Houston, TX 77028-1030
NPI Registry JSON
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1609309202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 N WAYSIDE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770281030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 N WAYSIDE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770281030",
"telephone_number": "713-696-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOAGYE",
"first_name": "ADWOA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "051294363",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IL",
"license": "049151637",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "56061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. 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.