DR. DAVID QUENTIN SHAW JR. (NPI# 1184088288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184088288 |
| Entity Type | Individual |
| Full Name | DR. DAVID QUENTIN SHAW JR. |
| Credential | PHARM.D. |
| Practice Address |
4567 E 9th Ave Pharmacy Department Denver CO 80220-3908 |
| Practice Telephone | 3033202167 |
| Practice Fax Number | 3033202999 |
| Mailing Telephone | 3033202167 |
| Mailing Fax Number | 3033202999 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PHA.0020409 | CO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO PHARMACIST LICENSE | PHA.0020409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164686135 | David J Shaw | Psychologist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2008-07-17 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1548307275 | David Douglas Shaw | Orthotist | 312 Commerce St, Unit 10, Williston, VT 05495-7832 | 2007-01-31 |
| 1134266950 | David Jonathan Shaw | Counselor | 519 Quigley Ave, Willow Grove, PA 19090-3609 | 2007-01-31 |
| 1003971904 | David Preston Shaw | Psychiatry & Neurology | 470 Front St N, Issaquah, WA 98027-2914 | 2006-12-22 |
| 1609937838 | David W Shaw | Chiropractor | 1006 Virginia Ave, Fort Pierce, FL 34982-3522 | 2006-12-12 |
| 1760542922 | David Allen Shaw | Psychologist | 516 S.e. Morrison St, Suite 530, Portland, OR 97214-2346 | 2006-12-11 |
| 1760490619 | David G Shaw | Chiropractor | 18652 Florida St, Ste 245, Huntington Beach, CA 92648-1924 | 2006-08-04 |
| 1497741284 | David Shaw | Psychologist | 18384 Lost Lake Way, Jupiter, FL 33458-3805 | 2005-09-27 |
| 1073506432 | David Lee Shaw | Psychiatry & Neurology | 907 Mar Walt Drive, Suite 2021, Fort Walton Beach, FL 32547-6960 | 2005-08-31 |
| Street Address |
4567 E 9TH AVE PHARMACY DEPARTMENT |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602033 | Donna Emi Okuda | Specialist | 4567 E 9th Ave, Denver, CO 80220-3908 | 2005-07-12 |
| 1891392957 | Questcare Obstetrics Colorado LLC | Obstetrics & Gynecology | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-10-02 |
| 1720694136 | Healthone Heart Care LLC | Internal Medicine | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-09-21 |
| 1154937787 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-09-18 |
| 1881200608 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-09-17 |
| 1790399814 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-09-04 |
| 1356953368 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-08-20 |
| 1225656440 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-07-14 |
| 1790309763 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-06-04 |
| 1588288799 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-06-03 |
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|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
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| 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 |
|---|---|---|---|---|
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1184015851 | Liban Warsame | Pharmacist | 2797 Wewatta Way Unit 2049, Denver, CO 80216-3644 | 2015-02-16 |
| 1043486103 | Suegie Park | Pharmacist | 2920 E Colorado Ave, Denver, CO 80210-3525 | 2008-05-07 |
| 1679190276 | Rina P Soni | Pharmacist | 929 N Broadway, Denver, CO 80203-2705 | 2020-06-29 |
| 1952947459 | Catherine Ann Wisniewski | Pharmacist | 334 Main St, Denver, PA 17517-1448 | 2019-11-20 |
| 1023530425 | Hayley Renee Wittnebel | Pharmacist | 1055 Clermont St Bldg C, Denver, CO 80220-3808 | 2017-07-07 |
| 1720536667 | Tara Nguyen | Pharmacist | 890 S Monaco Pkwy, Denver, CO 80224-1569 | 2016-09-20 |
| 1326422205 | Cy W. Fixen | Pharmacist | 1055 Clermont St, Denver, CO 80220-3808 | 2015-07-10 |
| 1508280561 | Lauren Boyle | Pharmacist | 2130 Stout St, Denver, CO 80205-2827 | 2014-02-11 |
| 1356785711 | Nannette Sue Rivas | Pharmacist | 1331 Speer Blvd, Denver, CO 80204-2512 | 2013-04-29 |
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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.