P Praxis·MD
● Active Type 1 · Individual

Line Ornella Fassu Siankam

Pharmacist·Georgetown, TX· NPI 1932646502 · Enumerated 2017 · 9 years on NPI
Fassu Siankam is 1 of 1 pharmacist providers in Georgetown and 1 of 1239 in Texas.
NPI age
9 years
Enumerated 2017-01-20
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1239 active pharmacist providers in Texas.

NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-01Enumerated in NPPES
2017 2026

Where they practice

Practice location
2423 Williams Dr Ste 105
Georgetown, TX 786283200
📞 8778005722
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 786283269
📞 8778005722

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2094 Pitkin Ave
Brooklyn, NY 112073509
📞 7182400400

Specialties

  • Pharmacist Primary
    Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
    TX license #62350 taxonomy 1835P0018X
  • Pharmacist
    A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate...
    CA license #76080 taxonomy 1835P1300X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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