Shields LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

42790 Issued in MT

Legal business name

SHIELDS LLC

Practice address

1315 Wyoming St Ste a
Missoula, MT 59801-1725

Phone

(406) 544-8808

Fax

(406) 541-0185

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Eric ShieldsNPI 1700075652

Title

Owner/ Pic

Phone

(406) 541-4060

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• 406 Clinic Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Rudgers Shields, PHARM.D.

  • Pharmacist
  • Missoula, MT
  • NPI 1700075652
  NPD Authorized official

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520726400000",
    "number": "1104378439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 LINCOLN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023046",
            "telephone_number": "406-541-4060",
            "fax_number": "406-541-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WYOMING ST STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011725",
            "telephone_number": "406-544-8808",
            "fax_number": "406-541-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2018-03-11",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "406-541-4060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MT",
            "license": "42790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "406 Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Lauren Shepherd, MD
• Ronald M Sheppard I, APRN, FNP-BC
• Sandy Sheppard, OD PC
• Caitlen Sherman, RPH
• Colin G Sherrill, M.D.
• Shields LLC
• Earle Robert Shields, M.D.
• Eric Rudgers Shields, PHARM.D.
• Kelly Marie Shields, PHARM.D.
• Laela L Shimer, NP

• Long Term Care Pharmacy in Missoula, MT
• Providers in Missoula, MT by specialty
• Long Term Care Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.