DR. GRACE IFUNANYA MBAGWU (NPI# 1871927624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871927624 |
| Entity Type | Individual |
| Full Name | DR. GRACE IFUNANYA MBAGWU |
| Credential | PHARMD |
| Practice Address |
463 Westfield Blvd Apt. 612 Temple TX 76502-5333 |
| Mailing Address |
1206 West Campus Drive Temple TX 76502-5318 |
| Practice Telephone | 2542982123 |
| Mailing Telephone | 2542986100 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53800 | TX | Pharmacy Service Providers |
| Street Address |
463 WESTFIELD BLVD APT. 612 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1336611250 | Karin Diane Holdampf | Pharmacist | 2401 S 31st St Rm W150, Temple, TX 76508-0001 | 2018-12-18 |
| 1316440852 | Jordan Rohder | Pharmacist | 2002 Scott Blvd, Temple, TX 76504-6900 | 2018-03-12 |
| 1649717083 | Thomas Jackson Fowler II | Pharmacist | 488 Carrollton Street, Temple, GA 30179 | 2017-01-24 |
| 1932658077 | Monal Punjabi | Pharmacist | 5213 Foxhill Rd, Temple, TX 76502-4106 | 2016-09-30 |
| 1043683022 | Nina Kim | Pharmacist | 2401 S 31st St # Msag407p, Temple, TX 76508-0001 | 2015-11-12 |
| 1760890859 | Mckinsey Ford | Pharmacist | 1201 Canyon Creek Dr, Temple, TX 76502-3299 | 2014-08-01 |
| 1558603852 | Thomas Edward Chamberlain | Pharmacist | 1314 W. Adams Avenue, Temple, TX 76501 | 2013-03-25 |
| 1174875207 | Joann Pelage | Pharmacist | 3550 S General Bruce Dr Bldg A100, T-2278, Temple, TX 76504-5133 | 2012-10-13 |
| 1932412210 | Mina Mehvar | Pharmacist | 1900 Veterans Memorial Dr, Temple, TX 76504-7449 | 2010-07-15 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.