Siri K Akwiembi

Individual provider Active NPI Pharmacist · Carlsbad, NM

NPI 1437657269 · NPPES record last updated Dec 17, 2020

Key facts

NPI
1437657269
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP00009413 (NM)
Practice address
801 N Canal St
Carlsbad, NM 88220-5107
Phone
(575) 941-0250
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RP00009413NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past
since Dec 22, 2020
Accepting new patients
CVS Pharmacy Inc Past
since Dec 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00009413 NM Yes

Addresses

Primary practice location

801 N Canal St
Carlsbad, NM 88220-5107

Mailing address

780 W Cherry LN Apt 168
Carlsbad, NM 88220-8891
Phone (843) 539-6126

Other providers in Carlsbad, NM

All providers in Carlsbad, NM · Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.