Active NPI
Thomas Shaw, PHARM.D.
- Pharmacist
- Peoria, AZ
National Provider Identifier
1043643794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020052
- Practice address
- 13260 N 94TH Dr Ste 102
Peoria, AZ 85381-4242 - Phone
- (623) 583-2045
- Fax
- (888) 605-4090
- NPI assigned
- Aug 16, 2013
- Last updated
- Jan 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020052 | AZ | Primary |
Addresses
Primary practice location
13260 N 94TH Dr Ste 102
Peoria, AZ 85381-4242
Mailing address
1034 W Spur Dr
Phoenix, AZ 85085-6369
Phone (602) 509-2863
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020052 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Drugs | Current | Accepting new patients | |
| Shaw Health LLC | Current | Accepting new patients |
Locations
13260 N 94th Dr
Ste 102
Peoria, AZ 85381
Phone (623) 209-0109
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1912778770
-
- Community/Retail Pharmacy
- Peoria, AZ
- NPI 1578247342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1043643794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 W SPUR DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856369",
"telephone_number": "602-509-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13260 N 94TH DR STE 102",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814242",
"telephone_number": "623-583-2045",
"fax_number": "888-605-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.