Mary Sjoberg, RPH
Individual provider Active NPI Pharmacist · Pecos, NM
NPI 1275463564 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1275463564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00004579 (NM)
- Practice address
- 199 Hwy 50
Pecos, NM 87552 - Phone
- (505) 443-3211
- NPI assigned
- May 20, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00004579 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00004579 | NM | Yes |
Addresses
Primary practice location
199 Hwy 50
Pecos, NM 87552
Mailing address
PO Box 710
Pecos, NM 87552-0710
Other providers in Pecos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.