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Active NPI 1295335768 Individual Practitioner Male Practitioner

Shenouda Mourgan

Pharmacist • Humble, TX

Professional Overview & Biography Verified Profile Summary

Shenouda Mourgan is a registered healthcare professional specializing in Pharmacist in Humble, TX. Practice services are available at 12815 KINKAID MEADOWS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12815 Kinkaid Meadows Ln

Humble, TX 773463794

Telephone 8322958500
Associated Practice Facility / Clinic
🏢 Merrimac Primecare, Inc Facility NPI 1558930305

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Humble, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
113 Specialists

Practicing in Humble, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-04
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 52622

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NC 20075

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 04, 2025

Registered at 12815 KINKAID MEADOWS LN, HUMBLE, TX 773463794 (Tel: 8322958500)

📍
Updated Business Mailing Address March 04, 2025

Registered at 12815 KINKAID MEADOWS LN, HUMBLE, TX 773463794 (Tel: 8322958500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Pharmacist (License #20075 in NC)

📍
Updated Practice Location March 13, 2023

Registered at 15340 VANTAGE PKWY E STE 220, HOUSTON, TX 770321901 (Tel: 4106033559)

📍
Updated Business Mailing Address March 13, 2023

Registered at 15340 VANTAGE PKWY E STE 220, HOUSTON, TX 770321901 (Tel: 4106033559)

NPI Profile Active October 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2020

Registered at 515 E LOOP 281, LONGVIEW, TX 756055001 (Tel: 4793219946)

📍
Updated Business Mailing Address October 26, 2020

Registered at 16607 HAILEY CT, TYLER, TX 757037837 (Tel: 4106033559)

👤
Provider Name / Credentials Updated October 26, 2020

Recorded as SHENOUDA MOURGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Pharmacist (License #52622 in TX)

🟢
Initial NPI Registration & Enumeration October 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295335768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2020
Last Update: March 04, 2025
Sole Proprietor: Yes

Mailing Address

12815 Kinkaid Meadows Ln

Humble, TX 773463794

Phone: 8322958500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.