JERRY SHAW (NPI# 1821452368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821452368 |
| Entity Type | Individual |
| Full Name | JERRY SHAW |
| Credential | R.PH. |
| Practice Address |
208 N Parkway Dr Alvarado TX 76009-3716 |
| Practice Telephone | 8177832727 |
| Practice Fax Number | 8177832501 |
| Mailing Telephone | 8177832727 |
| Mailing Fax Number | 8177832501 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23130 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265619118 | Jerry Emerson Shaw | Physician Assistant | 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 | 2008-01-23 |
| 1508877515 | Jerry L Shaw | Dentist | 1761 N 2000 W, Farr West, UT 84404 | 2006-08-11 |
| 1336186717 | Jerry Lee Shaw | Physical Therapist | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2006-06-02 |
| Street Address |
208 N PARKWAY DR |
| City | ALVARADO |
| State | TX |
| Zip Code | 76009-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598277378 | James Eliezer Dechavez | Nurse Practitioner | 515 E Highway 67, Alvarado, TX 76009 | 2017-11-01 |
| 1194143016 | Lifeway Dental | Dentist | 505 E Hwy 67, Alvarado, TX 76009 | 2014-03-29 |
| 1134555485 | Us Drug Mart, Inc. | Pharmacy | 601 N Parkway Dr, Ste A, Alvarado, TX 76009 | 2013-09-18 |
| 1396095394 | Alvarado Family Dentistry | Clinic/Center | 905 N. Cummings Drive, Alavardo, TX 76009 | 2012-09-17 |
| 1174701924 | Alvarado Chiropractic Health & Wellness | Chiropractor | 805 E Hwy 67, Alvarado, TX 76009 | 2008-02-04 |
| 1154506046 | Mobility Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 5720 Valley St, Suite 1, Alvarado, TX 76009 | 2008-01-09 |
| 1790802387 | Alvarado Isd | Local Education Agency (LEA) | 110 Bill Jackson Dr, Alvarado, TX 76009 | 2007-03-26 |
| 1760573117 | Jerry Harold Hidlebaugh | Dentist | 202 East Weaver St., Alvarado, TX 76009 | 2006-09-28 |
| 1558305391 | Nick Gagich | Chiropractor | 805 E Highway 67, Alvarado, TX 76009 | 2006-06-15 |
| 1386696136 | Johnson Diaz Dellosa | Family Medicine | 515 East Highway 67, Alvarado, TX 76009 | 2006-05-17 |
| Find all providers in zip 76009 | ||||
| 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 |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.