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DR. AKINJIDE AGBODO
NPI 1508148966
Pharmacist in Waller, TX

Active since September 12, 2011PECOS Enrolled
17119 FM 362 RD, WALLER, TX 77484(936) 372-8044 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Akinjide Agbodo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AKINJIDE AGBODO (NPI 1508148966) is an individual pharmacist in Waller, Texas, licensed in Texas (56452) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Dentistry (2009).

NPPES Registry Identity

NPI1508148966
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. AKINJIDE AGBODO
Location Address17119 FM 362 RDWaller, TX 77484-9317
Mailing Address17119 Fm 362 RdWaller, TX 77484-9317 · (832) 745-9144
Phone(936) 372-8044
Sole ProprietorNo
Medical School CMSHoward University College Of DentistryGraduated 2009
Enumeration DateSeptember 12, 2011
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1508148966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 56452
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
17119 FM 362 RD, Waller, TX 77484
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Akinjide Agbodo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628579539
PECOS Enrollment IDI20250902002046
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPTHRUST PHARMACY AND PHARMACAL LIMITED LIABILITY COMPANY
Pharmacy (Community/Retail Pharmacy)
17119 FM 362 RD
WALLER, TX 77484
Waller County (936) 372-8044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Akinjide Agbodo's NPI number?

The NPI number for Akinjide Agbodo is 1508148966. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Akinjide Agbodo located?

Akinjide Agbodo practices at 17119 Fm 362 Rd, Waller, TX 77484. The listed phone number is (936) 372-8044.

What is Akinjide Agbodo's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Is Akinjide Agbodo enrolled in Medicare?

Yes. Akinjide Agbodo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Akinjide Agbodo was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.