Mena Maher Samy Shanoudi

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04418200 Issued in NJ

Practice address

1301 Wall St W Apt 1116
Lyndhurst, NJ 07071-3527

Phone

(973) 771-9961

NPI assigned

Nov 18, 2025

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1376403675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WALL ST W APT 1116",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WALL ST W APT 1116",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713527",
            "telephone_number": "973-771-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANOUDI",
        "first_name": "MENA",
        "middle_name": "MAHER SAMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04418200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Scully, LCSW
• Joseph George Sedlock, D.O.
• Junon Serrano
• Nidhi Shah
• Sujal A Shah, PHARMD
• Ambreen Sharif, DPM
• Mark Shearer I, DPM
• Stefanie Shellhamer, LSW
• Paul Fortunato Sholander, DPT
• Rimma Chernyakhovskaya Silva, D.D.S.

• Pharmacist in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.