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

LicenseStateTypeSpecialty
049151637ILMDAmbulatory Care Pharmacist
051294363MIMDAmbulatory Care Pharmacist
56061TXMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2021.

{
    "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": []
}

Other providers in Houston, TX

All providers in Houston, TX · Ambulatory Care Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.