IndividualActive
Sm Omam, PHARMD
NPI 1104461490 · Pharmacist · Port Jefferson, NY
Sm Omam, PHARMD is a Pharmacist provider in Port Jefferson, NY (NPI 1104461490).
Provider details
- NPI number
- 1104461490
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 066071 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
464 Main St
Port Jefferson, NY 11777-2814
Phone: (631) 473-2914
Street-level locationGet directions
Mailing address
30 Malone St
Hicksville, NY 11801-4627
Registry dates
- Enumerated
- 2019-11-11
- Last updated
- 2019-11-11
Frequently asked questions
- What is Sm Omam's NPI number?
- Sm Omam's National Provider Identifier (NPI) is 1104461490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sm Omam's specialty?
- Sm Omam is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Sm Omam located?
- Sm Omam's practice location on file with NPPES is 464 Main St, Port Jefferson, NY 11777-2814.
- What is Sm Omam's phone number?
- The practice phone number listed in the NPPES registry for Sm Omam is (631) 473-2914.
- Is Sm Omam's NPI active?
- Yes — Sm Omam's NPI (1104461490) is active in the NPPES registry as of the last update on 2019-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.