Active NPI
Tanner Scott Shick, PHARMD
- Pharmacist
- Delmont, PA
National Provider Identifier
1134724693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP454942
- Practice address
- 6531 Route 22
Delmont, PA 15626-2402 - Phone
- (724) 468-6282
- NPI assigned
- Dec 2, 2020
- 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 | RP454942 | PA | Primary |
Addresses
Primary practice location
6531 Route 22
Delmont, PA 15626-2402
Mailing address
1019 Spring Hill Rd
Murrysville, PA 15668-2302
Phone (724) 771-2920
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | riteaid | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RP454942 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
- Community/Retail Pharmacy
- Delmont, PA
- NPI 1689763336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1134724693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 SPRING HILL RD",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156682302",
"telephone_number": "724-771-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6531 ROUTE 22",
"city": "DELMONT",
"state": "PA",
"postal_code": "156262402",
"telephone_number": "724-468-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHICK",
"first_name": "TANNER",
"middle_name": "SCOTT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454942",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "riteaid",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1019 Spring Hill Rd",
"city": "Murrysville",
"state": "PA",
"country_code": "US",
"postal_code": "156682302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delmont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.