JESSICA SHAW (NPI# 1861940983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861940983 |
| Entity Type | Individual |
| Full Name | JESSICA SHAW |
| Other Name | JESSICA BROOK |
| Credential | PHARMD |
| Practice Address |
5400 Gibson Blvd Se Albuquerque NM 87108-4729 |
| Practice Telephone | 5052682030 |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2016-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00008513 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362521 | Jessica Shaw | Dietitian, Registered | 67 Henderson Ln, Hanover, MA 02339-1581 | 2020-07-04 |
| 1841530128 | Jessica Lynn Shaw | Counselor | S73w16485 Janesville Rd, Muskego, WI 53150-8960 | 2013-02-22 |
| 1174805147 | Jessica Rae Shaw | Dietitian, Registered | 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 | 2011-09-15 |
| 1235428459 | Jessica Anna Shaw | Marriage & Family Therapist | 6420 E Broadway Blvd Ste B200, Tucson, AZ 85710-3514 | 2011-03-29 |
| 1740349281 | Jessica R Shaw | Acupuncturist | 17 Mystic St, Medford, MA 02155-3611 | 2006-12-08 |
| 1386125847 | Jessica Shaw | Occupational Therapist | 920 S 4th St, Louisville, KY 40203-3206 | 2018-08-23 |
| 1609381888 | Jessica Shaw | Behavioral Analyst | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2017-12-09 |
| 1992172894 | Jessica Shaw | Physical Therapist | 300 Kildaire Woods Dr, Cary, NC 27511 | 2015-08-26 |
| 1548661812 | Jessica Shaw | Occupational Therapist | 200 Governors Ave, Medford, MA 02155-1644 | 2014-09-05 |
| 1285964353 | Jessica Marie Shaw | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2010-01-12 |
| Street Address |
5400 GIBSON BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609849975 | Jeff Scott Zabel | Internal Medicine | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-02-08 |
| 1023635299 | Khatali Telemed Services | Internal Medicine | 5400 Gibson Blvd Se, Albuquerque, NM 87108-5566 | 2020-07-02 |
| 1447890033 | Hypnos Anesthesia | Nurse Anesthetist, Certified Registered | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2020-01-10 |
| 1780155952 | Enchantment Anesthesia LLC | Nurse Anesthetist, Certified Registered | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2018-12-16 |
| 1275017055 | Joseph Fitz Nemeth | Nurse Practitioner | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2018-09-18 |
| 1134603186 | Jane Van Buskirk Huelsmann | Occupational Therapist | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2018-09-15 |
| 1821506882 | Michael Len Toon | Pharmacist | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2018-01-11 |
| 1952830648 | Marjorie S Mock | Social Worker | 5400 Gibson Blvd Se, 4th Floor, Albuquerque, NM 87108-4729 | 2017-06-07 |
| 1982153466 | Nadia Joseph | Counselor | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2016-09-26 |
| 1568813228 | Greg M Scott | Registered Nurse | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| 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 |
|---|---|---|---|---|
| 1083212534 | Keishla Marie Cortes Vera | Pharmacist | 7400 San Pedro Dr Ne Apt 1015, Albuquerque, NM 87109-4688 | 2020-10-15 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1689280125 | Perry Pedersen | Pharmacist | 13251 Chaco Canyon Ln Ne, Albuquerque, NM 87111-7117 | 2020-09-21 |
| 1891300174 | Veronica Chacon | Pharmacist | 8000 Montgomery Blvd Ne Apt 416, Albuquerque, NM 87109-1631 | 2020-09-13 |
| 1588275135 | Roopali Sharma | Pharmacist | 1501 San Pedro Dr Se Bldg 41, Albuquerque, NM 87108-5180 | 2020-08-16 |
| 1699385104 | Dustin Mayberry | Pharmacist | 4404 Barrett Ave Nw, Albuquerque, NM 87114-6529 | 2020-08-10 |
| 1508499385 | Nicole D Gutierrez | Pharmacist | 6219 Marigold Ct Nw, Albuquerque, NM 87120-3278 | 2020-02-19 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1790326890 | Aaron Milton Lovato | Pharmacist | 7719 Ridgeview Dr Nw, Albuquerque, NM 87120-2864 | 2019-10-01 |
| 1891259628 | Aaron Rivera | Pharmacist | 10909 Estribo St Nw, Albuquerque, NM 87114-6309 | 2019-01-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.