Canice Omosioba Eshiebor, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00009570 Issued in NM

Practice address

1835 N Main St
Roswell, NM 88201-5168

Phone

(575) 624-0423

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Roswell, NM
  • NPI 1801801709
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1508538612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015168",
            "telephone_number": "575-624-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015168",
            "telephone_number": "575-624-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHIEBOR",
        "first_name": "CANICE",
        "middle_name": "OMOSIOBA",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RXM.05350@store.walgreens.com",
            "affiliation": "N",
            "address_1": "1835 N Main St",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Enmu-Roswell School Based Health Center
• Stacey Ennis
• Papa Entsuah
• Epmed, PA
• Jocelyn Lourdes Escobedo
• April Jule Eshom, PHARM D.
• Esperanza Developmental Services, LLC
• Esperanza Substance Abuse Services Inc.
• Nita Valerie Estrada
• Stephen Douglas Evans, M.D.

• All providers in Roswell, NM
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.