KATHARINE RENEE SHAW (NPI# 1265900419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265900419 |
Entity Type | Individual |
Full Name | KATHARINE RENEE SHAW |
Credential | PHARMD |
Practice Address |
2232 Addison Pl Nw Atlanta GA 30318-3522 |
Practice Telephone | 4046218163 |
Mailing Telephone | 4046218163 |
Enumeration Date | 2018-11-06 |
Last Update Date | 2018-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH024930 | GA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PHARMACIST LICENSE # | RPH024930 | 01 |
Street Address |
2232 ADDISON PL NW |
City | ATLANTA |
State | GA |
Zip Code | 30318-3522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
Find all providers in zip 30318 |
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 |
---|---|---|---|---|
1346871795 | Marcus Javon Cuffie | Pharmacist | 3559 Chamblee Tucker Rd, Atlanta, GA 30341-4409 | 2020-02-03 |
1417587775 | Ngoc Nhi T Che | Pharmacist | 725 Ponce De Leon Ave Ne Ste 100, Atlanta, GA 30306-4300 | 2020-01-24 |
1609406461 | Esete Getachew-smith | Pharmacist | 725 Ponce De Leon Ave Ne # 100, Atlanta, GA 30306-4300 | 2020-01-21 |
1245870468 | Chinyere Muoka | Pharmacist | 589 Cascade Ave Sw, Atlanta, GA 30310-2407 | 2020-01-15 |
1356828313 | Shin Lee Ly | Pharmacist | 608 Ralph Mcgill Blvd Ne Unit 533, Atlanta, GA 30312-1537 | 2018-07-23 |
1326559477 | Shirin Faridian Zadeh | Pharmacist | 560 Tahoma Dr, Atlanta, GA 30350-4000 | 2017-10-17 |
1053728279 | Katherine Pleasants | Pharmacist | 701 Highland Ave Ne Apt 2207, Atlanta, GA 30312-1488 | 2014-07-21 |
1710268867 | Suzanne Patricia Booth | Pharmacist | 3495 Piedmont Rd. Ne, Bulding 9 Clinical Affairs, Atlanta, GA 30305-1736 | 2011-09-02 |
1407136252 | Christine Elizabeth Lord | Pharmacist | 3495 Piedmont Road, Ne, Atlanta, GA 30305-1736 | 2011-08-25 |
1912205907 | Knikki Childs Pendleton | Pharmacist | 1401 Audubon Ct Sw, Atlanta, GA 30311-2472 | 2011-03-01 |
Find all providers in ATLANTA |
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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.