Sepideh Shojai Sisneroz, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

43405 Issued in CA

Practice address

20 N Pine St
Fourth Floor
Baltimore, MD 21201-1142

Phone

(410) 706-5194

Fax

(410) 706-4725

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1871809830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 GROSVENOR PL",
            "address_2": "APT # 1703",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208524668",
            "telephone_number": "301-312-8530",
            "fax_number": "410-706-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N PINE ST",
            "address_2": "FOURTH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011142",
            "telephone_number": "410-706-5194",
            "fax_number": "410-706-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISNEROZ",
        "first_name": "SEPIDEH",
        "middle_name": "SHOJAI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "43405",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "19888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Sisic, NP
• Christopher John Sisk, LCSW-C
• Morgan Sisk
• Matthew R Siska, PA-C
• Mark Lewis Siskind, DC
• Rosalinda Sison-Alidio, M.D.
• Edward Allan Racela Sison, MD
• Monalisa Victoria Panaligan Sison, OTR/L
• Sierra Marie Sisson, PA-C
• Stephen Douglas Sisson, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.