Bilal Siddiqi

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS60360 Issued in FL

Practice address

35800 US Hwy 27 N
Haines City, FL 33844-3735

Phone

(863) 422-6661

Fax

(863) 422-8472

NPI assigned

Mar 12, 2020

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #04708

  • Pharmacy
  • Haines City, FL
  • NPI 1538174776
  NPD

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1043846819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35800 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443735",
            "telephone_number": "863-422-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443735",
            "telephone_number": "863-422-6661",
            "fax_number": "863-422-8472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8990 Turkey Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32819",
            "country_code": "US",
            "telephone_number": "407-351-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4517 Oakbrook Ct",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "34746",
            "country_code": "US",
            "telephone_number": "407-923-6239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "BILAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH16249",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janise Schlater
• Senior Graces LLC (Heart of Florida Assisted Living)
• Senior Living Properties II,LLC (Savannah Court of Haines City)
• Ruth Servius, FNP
• Jessica M. Shaughnessy-Malloy, L.M.T.
• Sara N Silva
• Bret Singleton
• Amanda Slones
• Daniel Smith, O.D.
• Jeffrey S Smith, DC

• Pharmacist in Haines City, FL
• Providers in Haines City, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.