Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Akinjide Agbodo

Individual provider Pharmacist · NPI 1508148966

Dr. Akinjide Agbodo is an Undefined Non-Physician Type (Specify) in Waller, Texas. Graduated from Howard University College of Dentistry in 2009, 17 years ago. Licensed in Texas.

Years since qualifying
17
Trained at
Howard University College of Dentistry
Licensed in
TX
In the registry since
2011

Practice location Address checks out

17119 Fm 362 Rd
Waller, TX 77484-9317
Phone: (936) 372-8044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 56452 (TX)

Record details

NPI number1508148966
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2011
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address17119 Fm 362 Rd, Waller, TX 77484-9317

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolHOWARD UNIVERSITY COLLEGE OF DENTISTRY
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Waller