Active NPI
Shawn Eric Thomas, RPH
- Pharmacist
- Junction City, WI
National Provider Identifier
1245676196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12257-040
- Practice address
- 1926 Green Tree Rd
Junction City, WI 54443-9742 - Phone
- (715) 245-0428
- Fax
- (920) 429-5428
- NPI assigned
- May 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 12257-040 | WI | Primary |
Addresses
Primary practice location
1926 Green Tree Rd
Junction City, WI 54443-9742
Mailing address
1926 Green Tree Rd
Junction City, WI 54443-9742
Phone (715) 245-0428
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12257-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1245676196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 GREEN TREE RD",
"city": "JUNCTION CITY",
"state": "WI",
"postal_code": "544439742",
"telephone_number": "715-245-0428",
"fax_number": "920-429-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 GREEN TREE RD",
"city": "JUNCTION CITY",
"state": "WI",
"postal_code": "544439742",
"telephone_number": "715-245-0428",
"fax_number": "920-429-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHAWN",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12257-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.