Sidon LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SIDON LLC

Doing business as

Omnia Pharmacy

Practice address

901 Summit Ave
Union City, NJ 07087-5530

Phone

(201) 864-7600

Fax

(201) 864-7602

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Abdollah Reda

Title

Owner / Pharmacist in Charge

Phone

(201) 864-7600

Specialties & licenses 3

Addresses

Other names 1

• Omnia Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abe Reda

  • Pharmacist
  • Union City, NJ
  • NPI 1619559929
  NPD

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1386152858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875530",
            "telephone_number": "201-864-7600",
            "fax_number": "201-864-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875530",
            "telephone_number": "201-864-7600",
            "fax_number": "201-864-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "REDA",
        "authorized_official_first_name": "ABDOLLAH",
        "authorized_official_title_or_position": "OWNER / PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-864-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Union City, NJ
• Providers in Union City, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.