Active NPI
Emmanuel Mensah
- Pharmacist
- Roswell, NM
National Provider Identifier
1730733817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00009062
- Practice address
- 1110 S Main St
Roswell, NM 88203-5635 - Phone
- (575) 623-9300
- NPI assigned
- Jul 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00009062 | NM | Primary |
Addresses
Primary practice location
1110 S Main St
Roswell, NM 88203-5635
Mailing address
1600 N Sycamore Ave Apt 310
Roswell, NM 88201-8824
Phone (720) 474-7974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00009062 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564272000000",
"number": "1730733817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N SYCAMORE AVE APT 310",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882018824",
"telephone_number": "720-474-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 S MAIN ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882035635",
"telephone_number": "575-623-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSAH",
"first_name": "EMMANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-28",
"last_updated": "2019-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00009062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.