Active NPI
Eric Rudgers Shields, PHARM.D.
- Pharmacist
- Missoula, MT
National Provider Identifier
1700075652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4910
- Practice address
- 4108 Lincoln Rd
Missoula, MT 59802-3046 - Phone
- (406) 541-0185
- NPI assigned
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4910 | MT | Primary |
Addresses
Primary practice location
4108 Lincoln Rd
Missoula, MT 59802-3046
Mailing address
4108 Lincoln Rd
Missoula, MT 59802-3046
Phone (406) 541-0185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4910 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shields LLC | Current | Accepting new patients | |
| Shields LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Missoula, MT
- NPI 1104378439
-
- Community/Retail Pharmacy
- Missoula, MT
- NPI 1215479365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1700075652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 LINCOLN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023046",
"telephone_number": "406-541-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 LINCOLN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023046",
"telephone_number": "406-541-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ERIC",
"middle_name": "RUDGERS",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "4910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.