Thomas Maurice Sheppard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18580-40 Issued in WI

Practice address

192 N Main St
Fond Du Lac, WI 54935-3462

Phone

(920) 921-5264

Fax

(920) 921-2760

NPI assigned

Feb 21, 2020

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Fond Du Lac, WI
  • NPI 1649285537
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1508499112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 N MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353462",
            "telephone_number": "920-921-5264",
            "fax_number": "920-921-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353462",
            "telephone_number": "920-921-5264",
            "fax_number": "920-921-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "THOMAS",
        "middle_name": "MAURICE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18580-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Shaver
• William E Shaw, D.D.S.
• Matthew D Sheehy, PTA
• Patrick Sheil, CADC III, CCSG
• Holly Shepard, CSAC, ICS
• Kathryn Sheridan
• Thomas M Sheridan, DPM
• Sela Sherr, MD
• Chrissy Shields, MA
• Marcio A Shiokawa, MD

• Pharmacist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.