DR. RANDALL F SHAW (NPI# 1437406139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437406139 |
| Entity Type | Individual |
| Full Name | DR. RANDALL F SHAW |
| Credential | PHARMD |
| Practice Address |
3333 Clark St Alamosa CO 81101-2050 |
| Mailing Address |
2801 Grace Ct. Alamosa CO 81101 |
| Practice Telephone | 7195899021 |
| Mailing Telephone | 5152493737 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 21624 | IA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 19068 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891942165 | Randall Loren Shaw | Dentist | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2008-08-19 |
| 1922199686 | Randall Kenneth Shaw | Chiropractor | 3203 Preston Ave, Suite C, Pasadena, TX 77505-2002 | 2006-09-27 |
| 1184014250 | Randall Shaw | Recreation Therapist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2015-01-28 |
| Street Address |
3333 CLARK ST |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578580833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3333 Clark St, Alamosa, CO 81101-2050 | 2006-07-16 |
| 1255963716 | Jessica Lynn Pu | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2020-02-12 |
| 1699234146 | Daniella Cecilia Roehm | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2019-03-14 |
| 1992221824 | Kelly Michelle Stone | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2017-08-22 |
| 1427571546 | Alamosa Eye Care LLC | Optometrist | 3333 Clark St, Alamosa, CO 81101-2050 | 2017-07-20 |
| 1760930887 | Brandon Cullen | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2016-09-18 |
| 1538531546 | Wal-mart | Pharmacy | 3333 Clark St, Pharmacy, Alamosa, CO 81101 | 2015-10-29 |
| 1821345109 | Keri Lynne Brunke | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2012-08-06 |
| 1740324979 | Daniel Paul Dodd | Optometrist | 3333 Clark St, Alamosa, CO 81101-2050 | 2007-02-19 |
| 1649356890 | Wal-mart Stores, Inc. | Technician/Technologist | 3333 Clark St, Alamosa, CO 81101-2050 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| 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 |
|---|---|---|---|---|
| 1821373804 | Kimberly Cordova | Pharmacist | 8745 County Road 9 S Ste 152, Alamosa, CO 81101-9610 | 2011-10-20 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1427036904 | Torrie Smith | Pharmacist | 201 Carson Ave, Alamosa, CO 81101-2341 | 2006-01-05 |
| 1245838663 | Brandon Fritz | Pharmacist | 1710 1st St, Alamosa, CO 81101-2302 | 2020-10-16 |
| 1255963716 | Jessica Lynn Pu | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2020-02-12 |
| 1003448895 | Jerry Patrick Archuleta | Pharmacist | 1203 Main St, Alamosa, CO 81101-2395 | 2020-02-10 |
| 1699234146 | Daniella Cecilia Roehm | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2019-03-14 |
| 1558876755 | Richard A Silva | Pharmacist | 1203 Main St, Alamosa, CO 81101-2395 | 2017-12-10 |
| 1962916536 | Jacinta Candelaria Chavez | Pharmacist | 1301 Main St, Alamosa, CO 81101-2120 | 2017-11-18 |
| 1992221824 | Kelly Michelle Stone | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2017-08-22 |
| Find all providers in ALAMOSA | ||||
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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.