Mr Robert Thomas Shaw, RPH is a
Pharmacist based in Marissa, Illinois. Mr Robert Thomas Shaw is licensed to practice in Illinois (license number ) and his current practice location is
219 N Main St, Marissa, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 295-2241.
NPI number for Mr Robert Thomas Shaw is 1215025002 and his current mailing address is 219 N Main St, Marissa, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215025002.
Healthcare Provider's Profile
Full Name | Mr Robert Thomas Shaw |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 219 N Main St, Marissa, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215025002
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Mr Robert Thomas Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215025002 | NPI | - | NPPES |
1424504 | Other | IL | NAPB NUMBER |
371089281001 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Thomas Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert Thomas Shaw, RPH 219 N Main St, Marissa, IL 62257-1343 Ph: (618) 295-2241 | Mr Robert Thomas Shaw, RPH 219 N Main St, Marissa, IL 62257-1343 Ph: (618) 295-2241 |
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