Organization Active NPI

Sibaus

Doing business as Sibaus LTC

  • Long Term Care Pharmacy
  • Elyria, OH
National Provider Identifier
1275494890
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SIBAUS
Doing business as
Sibaus LTC
Practice address
710 Cleveland St
Elyria, OH 44035-4106
Phone
(440) 581-7730
Fax
(440) 581-7732
NPI assigned
Nov 21, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SIBAUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Sherif Mankaryous
Title
Pharmacy Director
Phone
(440) 581-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

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

  • SIBAUS LTC Doing business as

National Provider Directory

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

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1275494890",
    "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": "YES",
        "parent_organization_legal_business_name": "SIBAUS",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MANKARYOUS",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "440-581-7730"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIBAUS LTC",
            "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 Dec 5, 2025; 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.