Active NPI
Angelle Marie Henley, DOCTOR OF PHARMACY
- Pharmacist
- Houston, TX
National Provider Identifier
1871198499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59280
- Practice address
- 6011 Kirby Dr
Houston, TX 77005-3103 - Phone
- (713) 522-3983
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 59280 | TX | Primary |
Addresses
Primary practice location
6011 Kirby Dr
Houston, TX 77005-3103
Mailing address
10607 Acacia Forest TRL
Houston, TX 77089-5940
Phone (281) 619-6581
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 |
|---|---|---|---|
| 59280 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1871198499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10607 ACACIA FOREST TRL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770895940",
"telephone_number": "281-619-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 KIRBY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770053103",
"telephone_number": "713-522-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "ANGELLE",
"middle_name": "MARIE",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.