Active NPI
Moiz Siddiqui
- Pharmacist
- Hempstead, NY
National Provider Identifier
1023572252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065101-1
- Practice address
- 634 Fulton Ave
Hempstead, NY 11550-4544 - Phone
- (516) 280-2260
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 065101-1 | NY | Primary |
Addresses
Primary practice location
634 Fulton Ave
Hempstead, NY 11550-4544
Mailing address
20 Overbrook LN
Glen Head, NY 11545-2737
Phone (516) 353-4451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06501-1 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065101-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jai Sai Venkateswara Pharmacy LLC | Past | Accepting new patients | |
| Health & Wellness Farmacia Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Hempstead, NY
- NPI 1255789970
-
- Community/Retail Pharmacy
- Hempstead, NY
- NPI 1063834430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1023572252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OVERBROOK LN",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115452737",
"telephone_number": "516-353-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 FULTON AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504544",
"telephone_number": "516-280-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "MOIZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065101-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "06501-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.