Mohannad Siyam, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03839800 Issued in NJ

Practice address

601 4TH St
Union City, NJ 07087-2818

Phone

(856) 473-3955

Fax

(856) 473-3976

NPI assigned

Aug 2, 2017

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

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Siyam Pharmacy LLC

  • Community/Retail Pharmacy
  • Union City, NJ
  • NPI 1295316297
  NPD Authorized official
• Medicine Man RX LLC

  • Community/Retail Pharmacy
  • Hoboken, NJ
  • NPI 1598009383
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1699299479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 4TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872818",
            "telephone_number": "856-473-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 4TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872818",
            "telephone_number": "856-473-3955",
            "fax_number": "856-473-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIYAM",
        "first_name": "MOHANNAD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03839800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon B Santos Medical Group LLC
• Leslie Simonson, M.D.
• Marc Harold Simonson, MD
• Cheryl Singletary
• Siyam Pharmacy LLC
• SL Pharmacy Inc
• Smile Central Dental Hudson County PC
• SN Pharmacy LLC
• SN Pharmacy LLC
• Lorenzo Socas, R.PH.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.