Muhammad Tayyab Siddique, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

74150 Issued in CA

Practice address

602 Main St
Woodland, CA 95695-3405

Phone

(530) 662-2813

NPI assigned

Nov 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Medcore Inc

  • Community/Retail Pharmacy
  • Davis, CA
  • NPI 1174229033
  NPD
• Corner Drug Co.

  • Long Term Care Pharmacy
  • Woodland, CA
  • NPI 1164986188
  NPD (past)
• Corner Drug Co.

  • Pharmacy
  • Woodland, CA
  • NPI 1760477079
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1194294074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W LINCOLN AVE APT 714",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956956878",
            "telephone_number": "530-554-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAIN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953405",
            "telephone_number": "530-662-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "MUHAMMAD",
        "middle_name": "TAYYAB",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "74150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Shreve
• Amy Hood Shultz, PA
• Amira Shweyk
• Nikhil Sibal, DMD
• Ankit Sidana
• Samuel Max Siegel, M.D.
• Donald Siggins, PSYCHOLOGIST
• Sandra Ellen Sigrist, LCSW
• Shelby Silapasvang
• Kyle Aaron Silva

• Pharmacist in Woodland, CA
• Providers in Woodland, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.