Active NPI
Sibaus
- Community/Retail Pharmacy
- Elyria, OH
National Provider Identifier
1144006388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SIBAUS
- Practice address
- 710 Cleveland St
Elyria, OH 44035-4106 - Phone
- (440) 581-7730
- Fax
- (440) 581-7732
- NPI assigned
- Sep 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sherif Mankaryous, RPH
- Title
- Director
- Phone
- (440) 725-9938
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Sibaus
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Elyria, OH
- NPI 1275494890
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.
-
- Long Term Care Pharmacy
- Elyria, OH
- NPI 1275494890
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.