Mohamad Sow

Primary specialty

PharmacistTaxonomy code 183500000X

License

067673 Issued in NY

Practice address

221 Broad St
Staten Island, NY 10304-2057

Phone

(718) 682-1332

Fax

(718) 682-1569

NPI assigned

Dec 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Skycare RX Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Staten Island, NY
  • NPI 1366048837
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1093426058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-682-1332",
            "fax_number": "718-682-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOW",
        "first_name": "MOHAMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Taylor Southard, LMHC
• Southshore Pharmacy Corp.
• Jamie Souza-Page, OTR/L
• Sovereign Transportation Inc. (Patriot Transportation)
• Diado Sow
• Sheena Rose Sowlakis, M.S. ED.
• Dominick Spada, RPH PHARM D
• Linda Marie Spadafina, MSPT
• Louis Spadafora, RPH
• Jonathan Spagnola, MD

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.