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

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

Other identifiers 2

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 and National Provider Directory roles.

• Walgreen Co

  • 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BOARD OF PHARMACY",
            "identifier": "PS60360",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106502500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.