Individual provider Active NPI

Herve Gilles Mbanya

  • Pharmacist
  • Austin, TX
National Provider Identifier
1952904013
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50438 Issued in TX
Practice address
10401 Anderson Mill Rd Ste 112B
Austin, TX 78750-2579
Phone
(512) 270-4899
Fax
(512) 237-7360
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50438 TX Primary

Addresses

Primary practice location

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

Mailing address

1212 Windstone Dr
Waco, TX 76712-8570
Phone (832) 654-2125

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

LicenseStateTypeSpecialty
50438TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Force Solutions Inc Current Accepting new patients
Agape Force Solutions Inc CurrentSince Nov 22, 2020 Accepting new patients

Locations

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

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1952904013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WINDSTONE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128570",
            "telephone_number": "832-654-2125"
        },
        {
            "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": {
        "last_name": "MBANYA",
        "first_name": "HERVE",
        "middle_name": "GILLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 19, 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.

Verify at the official NPI Registry.