Shaver Holdings, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

DME264 Issued in ID

Legal business name

SHAVER HOLDINGS, INC.

Practice address

235 S 4TH
Pocatello, ID 83201

Phone

(208) 232-7750

Fax

(208) 233-3343

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Tori Shaver

Title

Owner

Phone

(208) 235-7243

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shaver Pharmacy & Compounding Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Shaver Holding Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shaver Holdings Inc

  • Compounding Pharmacy
  • Pocatello, ID
  • NPI 1902527294
  NPD tax ID

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1043372048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016438",
            "telephone_number": "208-232-7750",
            "fax_number": "208-233-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S 4TH",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-7750",
            "fax_number": "208-233-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVER HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-235-7243"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": "DME264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807548000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043372048",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaver Pharmacy & Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristopher Ryan Shannon, M.D.
• Sharp Counseling Inc
• Jason Sharp
• Shaver Holdings Inc
• Shaver Holdings Inc
• James Shaw, MD
• Leeann Kristin Shaw
• Dian Shawver, LMSW
• Paige Lea Sheffield, L.AC.
• Chandana Chandra Shekar, MD

• Oxygen Equipment & Supplies (DME) in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Oxygen Equipment & Supplies (DME) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.