Tom Reese Shelton Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10990 Issued in LA

Practice address

102 Racove Dr
West Monroe, LA 71291-7349

Phone

(318) 396-3157

Fax

(318) 396-3157

NPI assigned

Feb 27, 2014

Last updated

Feb 27, 2014By 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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1740605732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RACOVE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917349",
            "telephone_number": "318-396-3157",
            "fax_number": "318-396-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RACOVE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917349",
            "telephone_number": "318-396-3157",
            "fax_number": "318-396-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TOM",
        "middle_name": "REESE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "10990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel T Shannon
• Jessica Bamburg Sharp, F.N.P.
• Lezlee Shauf, SLP
• Shelby House LLC
• Debra A. Shelton, NP
• John C. Shepard, D.D.S.
• Matthew Sherlock, RPH
• Rebecca Elizabeth Sherwin, PT
• Todd Philip Sherwin, LPC LMFT
• Troy Channing Shows, O.T.

• Pharmacist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.