Shahab Ahmed Siddiqui, B.S

Primary specialty

PharmacistTaxonomy code 183500000X

License

043095 Issued in NY

Practice address

4 Sutter Ave
Brooklyn, NY 11212-3838

Phone

(718) 778-3900

Fax

(718) 778-3379

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Bachelor of Science

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.

• Brownsville Pharmacy Inc.

  • Pharmacy
  • Brooklyn, NY
  • NPI 1407955297
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467521906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 QUINTREE LN",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471826",
            "telephone_number": "631-470-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123838",
            "telephone_number": "718-778-3900",
            "fax_number": "718-778-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SHAHAB",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moiz Siddiqui, D.O.
• Parisa Siddiqui, PHYSICIAN ASSISTANT
• Pervez A. Siddiqui, RPH
• Sabah Siddiqui, M.D.
• Saher Siddiqui
• Taiba Siddiqui
• Yaqoob Masood Siddiqui, PHARMACIST
• Safiya Siddo
• Andrea N Sideli
• Nicholas Siderakis

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.