Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shiader Thao, RPH

Individual provider Pharmacist · NPI 1104422641

Shiader Thao, RPH is a Pharmacist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2440 W Mason St
Green Bay, WI 54303-4711
Phone: (920) 499-2330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2520527 (WI)

Record details

NPI number1104422641
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address2740 Saint Ann Dr, Green Bay, WI 54311-5886

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