NPIMap

Organization Active NPI

Sibaus

Doing business as MAC Pharmacy

  • Community/Retail Pharmacy
  • Elyria, OH
National Provider Identifier
1144006388
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SIBAUS
Doing business as
MAC Pharmacy
Practice address
710 Cleveland St
Elyria, OH 44035-4106
Phone
(440) 581-7730
Fax
(440) 581-7732
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mr. Sherif Mankaryous, RPHNPI 1376882068
Title
Director
Phone
(440) 725-9938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

710 Cleveland St
Elyria, OH 44035-4106

Mailing address

710 Cleveland St
Elyria, OH 44035-4106
Phone (440) 581-7730

Other names 1

  • MAC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sibaus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Sibaus

    dba Sibaus LTC

    • Long Term Care Pharmacy
    • Elyria, OH
    • NPI 1275494890
    NPD tax ID

Locations

710 Cleveland St
Elyria, OH 44035
Phone (440) 581-7730

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1144006388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354106",
            "telephone_number": "440-581-7730",
            "fax_number": "440-581-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354106",
            "telephone_number": "440-581-7730",
            "fax_number": "440-581-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "MANKARYOUS",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-725-9938",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.