Active NPI
Molola Gbajabiamila
- Pharmacist
- Pearland, TX
National Provider Identifier
1619563103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62061
- Practice address
- 12806 Broadway St
Pearland, TX 77584-1927 - Phone
- (832) 830-4921
- NPI assigned
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62061 | TX | Primary |
Addresses
Primary practice location
12806 Broadway St
Pearland, TX 77584-1927
Mailing address
20214 Neals Rose LN
Richmond, TX 77407-1501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62061 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1619563103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20214 NEALS ROSE LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774071501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12806 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841927",
"telephone_number": "832-830-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GBAJABIAMILA",
"first_name": "MOLOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.