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Deactivated NPI 1205079357 Deactivated / Inactive NPI Male Practitioner

Dr. Arif Ayub Siddique , PharmD

Pharmacist • Roseville, MI

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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, Dr. Arif Siddique has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2009
NPI Deactivation Date August 29, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Arif Siddique, PharmD was a registered Pharmacist practicing in Roseville, MI. Throughout an active medical career spanning 13 years, Dr. Siddique provided care at the practice location at 25996 GRATIOT AVE until profile deactivation on 2022-08-29.

Practice Location & Contact Primary Location

Practice Address

25996 Gratiot Ave

Roseville, MI 480664436

Telephone 5867741070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Roseville, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Roseville, MI (8602 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 MI 5302033573

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

4 Associated Practitioners
NPI 1104221936

Registered Pharmacist

Beth Starkey

Pharmacist

NPI 1104291848
Betsy Varghese

Pharmacy Technician

NPI 1194395939
NPI 1659774487

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated August 29, 2022

Record deactivated on August 29, 2022

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Updated Practice Location December 10, 2020

Registered at 2591 FM 423, LITTLE ELM, TX 750686664 (Tel: 9727318032)

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Updated Business Mailing Address December 10, 2020

Registered at 2591 FM 423, LITTLE ELM, TX 750686664 (Tel: 9727318032)

NPI Profile Active April 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2009

Registered at 25996 GRATIOT AVE, ROSEVILLE, MI 480664436 (Tel: 5867741070)

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Updated Business Mailing Address April 18, 2009

Registered at 25996 GRATIOT AVE, ROSEVILLE, MI 480664436 (Tel: 5867741070)

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Provider Name / Credentials Updated April 18, 2009

Recorded as ARIF SIDDIQUE, PHARM. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2009

Pharmacist (License #5302033573 in MI)

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Initial NPI Registration & Enumeration April 18, 2009

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: 1205079357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2009
Last Update: April 18, 2009
Deactivation Date: August 29, 2022

Mailing Address

25996 Gratiot Ave

Roseville, MI 480664436

Phone: 5867741070

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.