Derick Agyapong Yeboah | Tyler, TX • PECOS Search

Derick Agyapong Yeboah

Pharmacist

Pharmacy Service Providers

5415 S Broadway Ave, Tyler, TX 75703-1397

(903) 939-9298 (903) 355-9938

PECOS Enrollment

Based on the most recent information from CMS, provider Derick Agyapong Yeboah does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1972487064
Provider Type
Individual
Full Name
Yeboah, Derick Agyapong
Title
Dr.
Credential
PHARMD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/2/2025
Last Updated
8/2/2025

Contact Information

Practice Location

5415 S Broadway Ave, Tyler, TX 75703-1397

Unlisted Fax

Mailing Location

2924 N Tenneha Ave, Tyler, TX 75702-1915

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 75831 Texas