JONATHAN SHAW (NPI# 1760897565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760897565 |
| Entity Type | Individual |
| Full Name | JONATHAN SHAW |
| Credential | PHARMD |
| Practice Address |
515 S Main St Leitchfield KY 42754-1133 |
| Practice Telephone | 2702595720 |
| Mailing Telephone | 2702595720 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 017039 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669579116 | Jonathan David Shaw | Psychiatry & Neurology | 2911 Brunswick Road, Memphis, TN 38133 | 2006-09-19 |
| 1023641743 | Jonathan Shaw | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-02-20 |
| 1912498874 | Jonathan Shaw | Orthopaedic Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2018-05-25 |
| 1922467661 | Jonathan Shaw | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2016-02-22 |
| 1114331923 | Jonathan Shaw | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2014-06-19 |
| 1841574753 | Jonathan D Shaw | Social Worker | 242 Brunswick St, Old Town, ME 04468-1613 | 2011-10-11 |
| 1356672794 | Jonathan Stephen Shaw | Obstetrics & Gynecology | One Medical Center Drive, Obstetrics & Gynecology, Lebanon, NH 03756-0001 | 2010-01-25 |
| 1073709143 | Jonathan Shaw | Physical Therapist | 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101-9532 | 2007-09-21 |
| 1265631709 | Jonathan G. Shaw | Family Medicine | 1885 Bay Rd, East Palo Alto, CA 94303-1312 | 2007-07-14 |
| 1144264284 | Jonathan Thomas Shaw | Physical Therapist | 3220 Dunwoodie Rd, Ann Arbor, MI 48105-4113 | 2006-06-16 |
| Street Address |
515 S MAIN ST |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967150 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 515 S Main St, Leitchfield, KY 42754 | 2017-08-14 |
| 1750826871 | Mckinzie Toler | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2016-12-28 |
| 1720538101 | Rite Aid Pharmacy | Pharmacy | 515 S Main St, Leitchfield, KY 42754-1133 | 2016-10-10 |
| 1760772529 | David Franklin Tabor | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| 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 |
|---|---|---|---|---|
| 1356816763 | Jon B Harned | Pharmacist | 406 Grayson St, Leitchfield, KY 42754-2238 | 2018-10-11 |
| 1740779446 | Jeremy Newton | Pharmacist | 908 Wallace Ave Ste 105, Leitchfield, KY 42754-1479 | 2018-05-08 |
| 1518567916 | Donald Ray Meers | Pharmacist | 1801 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2020-10-27 |
| 1659986412 | Reed Keehner Smith | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2020-09-09 |
| 1750826871 | Mckinzie Toler | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2016-12-28 |
| 1417331596 | Victoria Josephina Smith | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2015-07-17 |
| 1790117026 | Angela Mae Gibson | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2230 | 2013-08-09 |
| 1245509363 | Donald R Anderson | Pharmacist | 311 N Main St, Leitchfield, KY 42754-2214 | 2011-12-19 |
| 1760772529 | David Franklin Tabor | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2011-04-13 |
| 1407013006 | Jane Jones Fletcher | Pharmacist | 201 S Main St, Leitchfield, KY 42754-1425 | 2008-05-21 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
Please comment or provide details below to improve the information on JONATHAN 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.