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Active NPI 1255297974 Individual Practitioner Male Practitioner

Siddique Rezan Mohammed

Pharmacist • Punta Gorda, FL

Professional Overview & Biography Verified Profile Summary

Siddique Mohammed is a registered healthcare professional specializing in Pharmacist in Punta Gorda, FL. Practice services are available at 3795 TAMIAMI TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3795 Tamiami Trl

Punta Gorda, FL 339507900

Telephone 9415068882
Fax 9415058881
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1184639338

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Punta Gorda, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
35 Specialists

Practicing in Punta Gorda, FL (19926 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

CMS Verified: 2025-12-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS69988

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

2 Associated Practitioners
NPI 1740891407

Doctor of Pharmacy (Pharm.D.)

Tyler Haney

Pharmacist

NPI 1881205540

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 26, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2025

Registered at 3795 TAMIAMI TRL, PUNTA GORDA, FL 339507900 (Tel: 9415068882)

📍
Updated Business Mailing Address December 26, 2025

Registered at 3795 TAMIAMI TRL, PUNTA GORDA, FL 339507900 (Tel: 9415058882)

👤
Provider Name / Credentials Updated December 26, 2025

Recorded as SIDDIQUE MOHAMMED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2025

Pharmacist (License #PS69988 in FL)

🟢
Initial NPI Registration & Enumeration December 26, 2025

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: 1255297974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2025
Last Update: December 26, 2025
Sole Proprietor: No

Mailing Address

3795 Tamiami Trl

Punta Gorda, FL 339507900

Phone: 9415058882

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.