Siddiqui Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033394 Issued in NY

Legal business name

SIDDIQUI CORPORATION

Practice address

1109 Coney Island Ave
Brooklyn, NY 11230-2305

Phone

(718) 434-4649

Fax

(718) 434-4168

NPI assigned

Mar 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pervez Siddiqui

Title

President

Phone

(718) 434-4649

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim Ali Farhat, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1699413559
  NPD (past)
• Sadorathon Orifzoda, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1407567175
  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1073907671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302305",
            "telephone_number": "718-434-4649",
            "fax_number": "718-434-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302305",
            "telephone_number": "718-434-4649",
            "fax_number": "718-434-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDIQUI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "PERVEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-4649"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mian A. Siddique, M.D
• Muhammad Uzair Siddique
• Omar Siddique, MD
• Russel Siddique, NP
• Siddiqui
• Abdul A Siddiqui, RPH
• Ahmed Moid Siddiqui, MD
• Bilal Ahmed Siddiqui, MD
• Laila Siddiqui
• Lily Siddiqui

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.