Thomas Peter Shilale

Primary specialty

PharmacistTaxonomy code 183500000X

License

P17695 Issued in MA

Practice address

400 Park Ave
Worcester, MA 01610-1025

Phone

(508) 792-3866

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1376269621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAILIN DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043586",
            "telephone_number": "774-437-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101025",
            "telephone_number": "508-792-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILALE",
        "first_name": "THOMAS",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "P17695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Shields, M. ED.
• Sara G Shields, FAMILY PRACTICE
• Thomas Matthew Shields, MD
• Jeffrey Alan Shih, M.D.
• Katie Nicole Shikora, PA-C
• Debra Lynn Shilansky, M.A.
• Cassie Kelso Shilo, NP
• Michele Shimizu-Kelley
• Edward Shin, MD
• Yesung Shin

• Pharmacist in Worcester, MA
• Providers in Worcester, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.