BRIAN AVERY SHAW (NPI# 1124653621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124653621 |
| Entity Type | Individual |
| Full Name | BRIAN AVERY SHAW |
| Credential | PHARMD |
| Practice Address |
890 Richmond Plz Richmond KY 40475-2564 |
| Practice Telephone | 8596241093 |
| Practice Fax Number | 8596259386 |
| Mailing Telephone | 8596241093 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
018619 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295790 | Brian Shaw | Behavior Technician | 515 E 700 S Ste 2a, Slc, UT 84102-3307 | 2019-06-25 |
| 1073930525 | Brian Thomas Shaw | Registered Nurse | 248 Newton Rd, Rochester, NY 14626-2340 | 2014-03-22 |
| 1992331961 | Brian Shaw | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2020-03-20 |
| 1457997827 | Brian Shaw | Physical Therapist | 1334 Terry Ave, Seattle, WA 98101-2747 | 2019-11-20 |
| 1134787724 | Brian Bor-uei Shaw | Physical Therapist | 3292 E Willow St, Signal Hill, CA 90755-2309 | 2019-05-30 |
| 1023540986 | Brian Ishum Shaw | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-03-30 |
| 1518321819 | Brian Shaw | Internal Medicine | 234 Goodman St, Ml 0781, Cincinnati, OH 45219-2364 | 2016-04-12 |
| 1124366331 | Brian Shaw | Occupational Therapist | 2025 E Egbert St, Brighton, CO 80601-2517 | 2013-01-22 |
| 1417238478 | Brian Shaw | Pharmacist | 615 W Main St, Norman, OK 73069-7062 | 2011-09-05 |
| 1255662508 | Brian Kenneth Shaw | Counselor | 3685 N 129th St, Omaha, NE 68164-5211 | 2010-01-27 |
| Street Address |
890 RICHMOND PLZ |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770545899 | Vicki L. Hisle | Nurse Practitioner | 890 Richmond Plz, Richmond, KY 40475-2564 | 2006-04-04 |
| 1336757665 | Kelly Nicole Combs | Nurse Practitioner | 890 Richmond Plz, Richmond, KY 40475-2564 | 2020-07-22 |
| 1821610833 | Angela Mcmullin Springs | Pharmacist | 890 Richmond Plz, Richmond, KY 40475-2564 | 2020-05-13 |
| 1396376281 | Frank Matthew Hedglin | Pharmacist | 890 Richmond Plz, Richmond, KY 40475-2564 | 2020-01-29 |
| 1487196317 | Heather Kelly | Nurse Practitioner | 890 Richmond Plz, Richmond, KY 40475-2564 | 2016-11-09 |
| 1427508738 | Valerie Breeding | Nurse Practitioner | 890 Richmond Plz, Richmond, KY 40475-2564 | 2016-10-11 |
| 1891118865 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 890 Richmond Plz, Richmond, KY 40475 | 2014-01-28 |
| 1336347384 | Leslie Gayheart | Pharmacist | 890 Richmond Plz, Richmond, KY 40475-2564 | 2007-07-10 |
| 1851325666 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 890 Richmond Plz, Richmond, KY 40475-2564 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261701 | Kimberly Varney | Pharmacist | 401 N 12th St Dept Of, Richmond, VA 23298-5035 | 2020-03-25 |
| 1912531302 | Syed Habib Zaidi | Pharmacist | 11007 Rainy Canyon Ln, Richmond, TX 77406-1699 | 2020-02-25 |
| 1609413376 | Laurie Ferguson Mauthe | Pharmacist | 5801 Pollard Dr, Richmond, VA 23226-1830 | 2019-12-02 |
| 1295334886 | Kelechi Ugwuadu | Pharmacist | 6425 Fm 1464 Rd, Richmond, TX 77407-8287 | 2020-10-23 |
| 1134728496 | Henry Nguyen | Pharmacist | 8011 W Grand Pkwy S, Richmond, TX 77407-8600 | 2020-10-19 |
| 1821600354 | Samah Mohamed | Pharmacist | 7900 W Broad St, Richmond, VA 23294-6302 | 2020-08-17 |
| 1861017410 | Kristine Ann Phansana | Pharmacist | 2116 Thompson Rd Ste G1, Richmond, TX 77469-5428 | 2020-06-09 |
| 1316560980 | Teresa Au | Pharmacist | 25050 Fm 1093 Rd, Richmond, TX 77406-3616 | 2020-05-18 |
| 1184245490 | Tammy Thuy Nguyen | Pharmacist | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-04-28 |
| 1558982876 | Niyme Frinee De La Fuente | Pharmacist | 25050 Fm 1093 Rd, Richmond, TX 77406-3616 | 2020-04-27 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.