Shawnee Christian Healthcare Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHAWNEE CHRISTIAN HEALTHCARE CENTER INC

Practice address

234 Amy Ave
Louisville, KY 40212-2522

Phone

(502) 632-1729

Fax

(502) 885-4484

NPI assigned

Jan 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ernest Wardlaw

Title

Ceo

Phone

(843) 335-8291

Specialties & licenses 1

Addresses

Other names 1

• Shawnee Christian Healthcare Center Pharmacy Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1003407719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 AMY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122522",
            "telephone_number": "502-778-0001",
            "fax_number": "502-776-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 AMY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122522",
            "telephone_number": "502-632-1729",
            "fax_number": "502-885-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE CHRISTIAN HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "WARDLAW",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-335-8291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawnee Christian Healthcare Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shawnee Christian Healthcare Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Shaw, CRNA
• Monica Shaw, MD
• Robert W. Shaw III, MD
• Trevecca Kerry Shaw, DPM
• Adham Shawkat
• Shawnee Christian Healthcare Center Inc
• Shawnee Dental, PLLC.
• Shawnee Dental, PLLC.
• Richard B Shay, DMD
• SHC Medical Partners of Kentucky, LLC

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.