Patrick James Sillo

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03384900 Issued in NJ

Practice address

1111 High St N
Millville, NJ 08332-2528

Phone

(856) 293-9717

NPI assigned

Sep 22, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Millville, NJ
  • NPI 1356356240
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1609547504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322528",
            "telephone_number": "856-293-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLO",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03384900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "28RI03384900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.06174@store.walgreens.com",
            "affiliation": "N",
            "address_1": "1111 High St N",
            "city": "Millville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083322528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shapiro Holdings LLC
• Carol E Shapiro, RPH
• Matthew Allen Shapiro, EMT-B
• Kristen Shelley, LCSW
• Zae U Shim, MD
• Christopher Simkins
• Sara L Simmons
• Benita Simpson, COTA
• Paul I Singh, RPH
• Gary Joseph Skroski, RPH

• Pharmacist in Millville, NJ
• Providers in Millville, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.