KATHARINE RENEE SHAW


Address: 2232 Addison Pl Nw, Atlanta, GA 30318-3522
Phone: 4046218163

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA PHARMACIST LICENSE # RPH024930 01

Office Location

Street Address 2232 ADDISON PL NW
City ATLANTA
State GA
Zip Code 30318-3522

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1659970408 Laura N Gillespie Physician Assistant 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 2020-10-22
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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
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City ATLANTA
Zip Code 30318

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Dataset Information

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.

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