Shelby Lynn Gomez, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

18891-40 Issued in WI

Practice address

3185 Deming Way
Middleton, WI 53562-1435

Phone

(608) 263-1292

NPI assigned

Oct 24, 2020

Last updated

Oct 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Lynn Tjugum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• University of Wisconsin Hospitals and Clinics Authority

  dba UW Health Pharmacy Services

  • Pharmacy
  • Middleton, WI
  • NPI 1750804514
  NPD (past)

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1376142919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621435",
            "telephone_number": "608-263-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WI",
            "license": "18891-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "TJUGUM",
            "middle_name": "LYNN",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanya Glenn, M.D.
• Brian Yeon Suk Go
• Susan L Goelzer, MD MS CPE
• Jane B. Gogan, PHD, ABPP
• Robert N Golden, MD
• Claire F Gorham, APSW
• Alex E Gorski, LMT
• William John Graf, DDS
• Alexis Melanie Gray
• Greenway Dental Center S.C.

• Ambulatory Care Pharmacist in Middleton, WI
• Providers in Middleton, WI by specialty
• Ambulatory Care Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.