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Deactivated NPI 1063525459 Deactivated / Inactive NPI Male Practitioner

Shareef Sardar Mohideen , RPH

Pharmacist • Travis Afb, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shareef Mohideen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2006
NPI Deactivation Date June 28, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Shareef Mohideen, RPH was a registered Pharmacist practicing in Travis Afb, CA. Throughout an active medical career spanning 17 years, Shareef Mohideen provided care at the practice location at 101 BODIN CIRCLE until profile deactivation on 2023-06-28.

Practice Location & Contact Primary Location

Practice Address

101 Bodin Circle
60 Mdg

Travis Afb, CA 94535

Telephone 7074237656

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
56 Specialists

Practicing in Travis Afb, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 040009

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1033428156

Doctor of Pharmacy (Pharm.D.)

Dr. Rin Okano , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1063786325

Doctor of Pharmacy (Pharm.D.)

NPI 1104230275

Doctor of Pharmacy (Pharm.D.)

NPI 1124715628

Doctor of Pharmacy (Pharm.D.)

Dinh Le

Pharmacist

NPI 1215575642
NPI 1275193146

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 28, 2023

Record deactivated on June 28, 2023

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2016

Registered at 101 BODIN CIRCLE, 60 MDG, TRAVIS AFB, CA 94535 (Tel: 7074237656)

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Updated Business Mailing Address September 08, 2016

Registered at 1025 PEPPERTREE DRIVE, FAIRFIELD, CA 94533 (Tel: 5209037027)

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Provider Name / Credentials Updated September 08, 2016

Recorded as SHAREEF MOHIDEEN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Pharmacist (License #040009 in NY)

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Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063525459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: September 08, 2016
Deactivation Date: June 28, 2023

Mailing Address

1025 Peppertree Drive

Fairfield, CA 94533

Phone: 5209037027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.