EDWARD SHAW (NPI# 1346626165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346626165 |
| Entity Type | Individual |
| Full Name | EDWARD SHAW |
| Practice Address |
1045 Saint Louis Street Walgreens 12417 Batesville AR 72501 |
| Practice Telephone | 8703070262 |
| Mailing Telephone | 8703070262 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD09209 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962617514 | Edward Shaw | Dentist | 2155 Webster St, San Francisco, CA 94115-2333 | 2007-05-14 |
| 1821066135 | Edward F Shaw | Technician/Technologist | 1295 Portland Ave, Suite 1, Rochester, NY 14621-2731 | 2006-03-11 |
| 1538141585 | Edward Gus Shaw | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-16 |
| Street Address |
1045 SAINT LOUIS STREET WALGREENS 12417 |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| 1053753780 | Justin Duane Piker | Pharmacist | 1045 S St Louis St, Batesville, AR 72501 | 2013-07-23 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124431168 | James Christopher Hall | Pharmacist | 215 Aberdeen Dr, Batesville, AR 72501-4237 | 2014-06-07 |
| 1053753780 | Justin Duane Piker | Pharmacist | 1045 S St Louis St, Batesville, AR 72501 | 2013-07-23 |
| 1962741850 | Steve Michael Horton | Pharmacist | 303 N St. Louis, Batesville, AR 72501 | 2013-02-12 |
| 1265721377 | David E Lee | Pharmacist | 1615 Lee St, Batesville, AR 72501-7753 | 2011-03-30 |
| 1174646137 | Jennifer J Sullivant | Pharmacist | 475 Highway 6 E, Batesville, MS 38606-3001 | 2007-04-06 |
| 1154405611 | Erik Broome | Pharmacist | 595 Highway 6 E, Batesville, MS 38606-3003 | 2006-10-24 |
| 1689757981 | Harry Andrew Buschmann | Pharmacist | 421 S Central Ave, Relief Work At Multiple Pharmacies/locations, Batesville, AR 72501-6837 | 2006-10-23 |
| 1538260864 | John Vernon Garton | Pharmacist | 2080 Harrison St, Batesville, AR 72501-7413 | 2006-09-26 |
| 1225139603 | Andrew G. Strecker | Pharmacist | 770 S Saint Louis St, Batesville, AR 72501-5821 | 2006-09-26 |
| 1437265154 | Royce Wendell Wilson | Pharmacist | 10 Allen Chapel Rd, Batesville, AR 72501-9787 | 2006-08-23 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
Please comment or provide details below to improve the information on EDWARD SHAW.
| 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.