Shane Tolleson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

54809 Issued in TX

Practice address

Health 2 4349 Martin Luther King Blvd Room 3044
Houston, TX 77204-0001

Phone

(832) 842-8369

NPI assigned

Jan 20, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1467167759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MALONE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH 2 4349 MARTIN LUTHER KING BLVD ROOM 3044",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "832-842-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESON",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srtolles@central.uh.edu",
            "affiliation": "N",
            "endpointDescription": "University provided email address",
            "address_1": "Health 2 4349 Martin Luther King Blvd Room 3044",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "772040001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Helen Tolentino, RN, WHNP-BC
• Ayla Toles
• Julie K Toll, MD
• Tolland Dialysis LLC
• Angelina Tollefson
• Jeffrey John Tollett, D.D.S.
• Winston Eugene Tollett Jr.
• Georwana D Tolliver, MS, BCBA LBA
• Laura B Tolliver, BCBA
• Margaret Jean Tolman, APRN-CNM

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.