Organization Active NPI

Leadway Group LLC

  • Long Term Care Pharmacy
  • Houston, TX
National Provider Identifier
1992219877
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
31723 Issued in TX
Legal business name
LEADWAY GROUP LLC
Practice address
9370 W Sam Houston Pkwy S Ste E
Houston, TX 77099-5224
Phone
(832) 664-8713
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Oyejide Julius Adewoye, PHARM.DNPI 1245543040
Title
Director of Pharmacy
Phone
(832) 664-8713

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
Community/Retail Pharmacy 3336C0003X 31723 TX
Compounding Pharmacy 3336C0004X 31723 TX
Long Term Care Pharmacy 3336L0003X 31723 TX Primary

Addresses

Primary practice location

9370 W Sam Houston Pkwy S Ste E
Houston, TX 77099-5224

Mailing address

9370 W Sam Houston Pkwy S Ste E
Houston, TX 77099-5224
Phone (832) 664-8713

Other names 1

  • Leadway Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181020000353 TX Part B Supplier - Mass Immunization (Roster Biller Only) 3375896350 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9370 W Sam Houston Pkwy S
Ste E
Houston, TX 77099
Phone (281) 912-4812

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": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1992219877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 W SAM HOUSTON PKWY S STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995224",
            "telephone_number": "832-664-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 W SAM HOUSTON PKWY S STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995224",
            "telephone_number": "832-664-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADWAY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "ADEWOYE",
        "authorized_official_first_name": "OYEJIDE",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "832-664-8713",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31723",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "31723",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "31723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leadway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 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.