Active NPI
Catherine Favor Ademola, PHARM.D
- Pharmacist
- New Braunfels, TX
National Provider Identifier
1649584111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48318
- Practice address
- 1944 S. Seguin Ave (Walgreens)
New Braunfels, TX 78130 - Phone
- (830) 620-0009
- NPI assigned
- Jul 27, 2010
- Last updated
- Mar 15, 2022
- 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 | 48318 | TX | Primary |
Addresses
Primary practice location
1944 S. Seguin Ave (Walgreens)
New Braunfels, TX 78130
Mailing address
3990 E Lucas Dr
Beaumont, TX 77708-5513
Phone (409) 898-2990
Other names 1
- Catherine Favor Samuel Nkwanchung
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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1944 S Seguin Ave
New Braunfels, TX 78130
Phone (830) 620-0009
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1649584111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 E LUCAS DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777085513",
"telephone_number": "409-898-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 S. SEGUIN AVE (WALGREENS)",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-620-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEMOLA",
"first_name": "CATHERINE",
"middle_name": "FAVOR",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "SAMUEL NKWANCHUNG",
"middle_name": "FAVOR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.