Individual provider Active NPI

Zaki H Siddiqui

  • Pharmacist
  • Southfield, MI
National Provider Identifier
1972886901
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302039805 Issued in MI
Practice address
15627 W 9 Mile Rd
Southfield, MI 48075-3718
Phone
(248) 809-6024
Fax
(248) 809-6045
NPI assigned
Sep 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302039805 MI Primary

Addresses

Primary practice location

15627 W 9 Mile Rd
Southfield, MI 48075-3718

Mailing address

1098 Prescott Dr
Rochester Hills, MI 48309-4903
Phone (248) 795-0883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5302039805MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Nine Pharmacy LLC CurrentSince Oct 6, 2024 Accepting new patients
Walgreen Co Past Accepting new patients
Greenfield Nine Pharmacy LLC PastSince Oct 6, 2024 Accepting new patients

Locations

15627 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 809-6024

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1972886901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 PRESCOTT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094903",
            "telephone_number": "248-795-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15627 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753718",
            "telephone_number": "248-809-6024",
            "fax_number": "248-809-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ZAKI",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; 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.