Provider Demographics
NPI:1417550625
Name:NGENE, CHINYERE MARIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:MARIA
Last Name:NGENE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHINYERE
Other - Middle Name:MARIA
Other - Last Name:EDEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20411 CAJON CANYON CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5411
Mailing Address - Country:US
Mailing Address - Phone:713-705-6705
Mailing Address - Fax:
Practice Address - Street 1:WALMART
Practice Address - Street 2:1313 N FRY RD
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-599-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist