Upthrust Pharmacy and Pharmacal Limited Liability Company
NPI 1104636869 · Community/Retail Pharmacy · Waller, TX
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upthrust Pharmacy and Pharmacal Limited Liability Company is a Community/Retail Pharmacy organization in Waller, TX (NPI 1104636869).
Provider details
- NPI number
- 1104636869
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Akinjide Agbodo, Pharmacist(832) 745-9144
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Upthrust Pharmacy and Pharmacal
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Upthrust Pharmacy and Pharmacal Limited Liability Company's NPI number?
- Upthrust Pharmacy and Pharmacal Limited Liability Company's National Provider Identifier (NPI) is 1104636869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upthrust Pharmacy and Pharmacal Limited Liability Company?
- Upthrust Pharmacy and Pharmacal Limited Liability Company is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Upthrust Pharmacy and Pharmacal Limited Liability Company located?
- Upthrust Pharmacy and Pharmacal Limited Liability Company's practice location on file with NPPES is 17119 Fm 362 Rd, Waller, TX 77484-9317.
- What is Upthrust Pharmacy and Pharmacal Limited Liability Company's phone number?
- The practice phone number listed in the NPPES registry for Upthrust Pharmacy and Pharmacal Limited Liability Company is (936) 372-8044.
- Does Upthrust Pharmacy and Pharmacal Limited Liability Company accept Medicare?
- Upthrust Pharmacy and Pharmacal Limited Liability Company is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Upthrust Pharmacy and Pharmacal Limited Liability Company?
- The authorized official listed on Upthrust Pharmacy and Pharmacal Limited Liability Company's NPPES record is Akinjide Agbodo, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upthrust Pharmacy and Pharmacal Limited Liability Company's NPI active?
- Yes — Upthrust Pharmacy and Pharmacal Limited Liability Company's NPI (1104636869) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.