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Young C Ahamba , PHARMACIST

Physician β€’ Missouri City, TX

Deactivated NPI 1790972073 Deactivated in NPPES Male Practitioner
Practice location in NPPES

543 Dalewood Dr
Missouri City, TX 774892210

Phone: 2814389231

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 30, 2020; the reason is not published. The records below are historical. They do not show whether Young Ahamba currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 01, 2007
NPI Deactivation Date March 30, 2020
NPI Active Period 2007 – 2020

Practice Location & Contact Primary Location

Practice Address

543 Dalewood Dr

Missouri City, TX 774892210

Telephone 2814389231
Fax 2812081627
Organization at the Same NPPES Address or Phone
Quality Personal Care Homes Inc Facility NPI 1558866780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Missouri City and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

License # reported to NPPES TX 120514

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated March 30, 2020

NPPES lists this NPI as deactivated as of March 30, 2020; the reason is not published.

βœ…
NPI Profile Active October 01, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) October 01, 2007

Registered at 543 DALEWOOD DR, MISSOURI CITY, TX 774892210 (Tel: 2814389231)

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Business Mailing Address (Initial Record) October 01, 2007

Registered at PO BOX 21, MISSOURI CITY, TX 774590021 (Tel: 2814389231)

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Provider Name / Credentials (Initial Record) October 01, 2007

Recorded as YOUNG AHAMBA, PHARMACIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2007

Assisted Living Facility (license number reported to NPPES: TX 120514)

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Initial NPI Registration & Enumeration October 01, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790972073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2007
Last Update: October 01, 2007
Deactivation Date: March 30, 2020

Mailing Address

Po Box 21

Missouri City, TX 774590021

Phone: 2814389231

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.