Siyaa Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SIYAA HEALTHCARE LLC

Doing business as

Tiny Town Pharmacy

Practice address

1790 Tiny Town Rd Ste B
Clarksville, TN 37042-7636

Phone

(931) 378-6292

Fax

(931) 378-6293

NPI assigned

Oct 29, 2021

Last updated

Mar 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maulik Patel, PHARMDNPI 1679978746

Title

Officer

Phone

(000) 000-0000

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Tiny Town Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maulik V Patel, PHARMD, BSPS

  • Pharmacist
  • Hopkinsville, KY
  • NPI 1679978746
  NPD Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1114681616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 TINY TOWN RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 TINY TOWN RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427636",
            "telephone_number": "931-378-6292",
            "fax_number": "931-378-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIYAA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "000-000-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070836",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiny Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tiny Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sites Vision Clinic
• Clifton G Sites, OD
• Melanie Jarrell Sites, FNP
• Crystal Sivilay
• Samantha D Sixieme, ANP
• Chelsea Skaar
• Colleen Skelton, PT
• June Skelton, FNP-BC
• Emily Sara Skillman, DPT
• Kathleen M Skinner, CNA

• Community/Retail Pharmacy in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.