Organization Active NPI

Agape Force Solutions Inc

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1730537366
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30776 Issued in TX
Legal business name
AGAPE FORCE SOLUTIONS INC
Practice address
10401 Anderson Mill Rd Ste 112B
Austin, TX 78750-2579
Phone
(512) 270-4899
Fax
(512) 237-7360
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Herve MbanyaNPI 1952904013
Title
Owner
Phone
(512) 270-4899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30776 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

10401 Anderson Mill Rd Ste 112B
Austin, TX 78750-2579

Mailing address

10401 Anderson Mill Rd Ste 112B
Austin, TX 78750-2579
Phone (512) 270-4899

Other identifiers 2

IdentifierTypeStateIssuer
149526MedicaidTX
2160322OtherPK

Other names 1

  • AM Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170328001205 TX Part B Supplier - Pharmacy 4284919606 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

10401 Anderson Mill Rd
Ste 112B
Austin, TX 78750
Phone (512) 270-4899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1730537366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 ANDERSON MILL RD STE 112B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502579",
            "telephone_number": "512-270-4899",
            "fax_number": "512-237-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 ANDERSON MILL RD STE 112B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502579",
            "telephone_number": "512-270-4899",
            "fax_number": "512-237-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE FORCE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MBANYA",
        "authorized_official_first_name": "HERVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-270-4899"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30776",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149526",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.