Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700525417 Individual Practitioner Female Practitioner

Leli Omecham Stephen Agboire , RPH

Pharmacist • Texarkana, TX

Professional Overview & Biography Verified Profile Summary

Leli Stephen Agboire, RPH is a registered healthcare professional specializing in Pharmacist in Texarkana, TX. Practice services are available at WALGREENS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Walgreens
4415 North State Line Avenue

Texarkana, TX 75503

Telephone 9037928918
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1750396743

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Texarkana, TX

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

Practicing in Texarkana, 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: 2022-05-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 64715

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas State Board Of Pharmacy
64715 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1033843354

Doctor of Pharmacy (Pharm.D.)

Brian Durham

Pharmacist

NPI 1083225775
NPI 1194072108

Doctor of Pharmacy (Pharm.D.)

Andrea Alston

Pharmacist

NPI 1306259676
NPI 1326374950

Registered Pharmacist

NPI 1326440249

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2022

Registered at WALGREENS, 4415 NORTH STATE LINE AVENUE, TEXARKANA, TX 75503 (Tel: 9037928918)

📍
Updated Business Mailing Address June 01, 2022

Registered at 2408 ROSHARON DR, FORNEY, TX 751262450 (Tel: 4696058251)

👤
Provider Name / Credentials Updated June 01, 2022

Recorded as LELI STEPHEN AGBOIRE, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2022

Pharmacist (License #64715 in TX)

🟢
Initial NPI Registration & Enumeration June 01, 2022

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: 1700525417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2022
Last Update: June 01, 2022
Sole Proprietor: No

Mailing Address

2408 Rosharon Dr

Forney, TX 751262450

Phone: 4696058251

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.