Shaver Holdings Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2104RP Issued in ID

Legal business name

SHAVER HOLDINGS INC

Doing business as

Shaver Pharmacy and Compounding Center

Practice address

235 S 4TH Ave
Pocatello, ID 83201-6438

Phone

(208) 233-3341

Fax

(208) 233-3343

NPI assigned

Aug 21, 2006

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorri Shaver, RPH

Title

Owner

Phone

(208) 235-7244

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• SHAVER PHARMACY AND COMPOUNDING CENTER Doing business as

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1083720494",
    "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": "208-233-3341",
            "fax_number": "208-233-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016438",
            "telephone_number": "208-233-3341",
            "fax_number": "208-233-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVER HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "LORRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-235-7244",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "PHA-MOP-LIC-16394",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "2104RP",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083720494",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAVER PHARMACY AND COMPOUNDING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ann Sellman, LPC
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• Kristopher Ryan Shannon, M.D.
• Sharp Counseling Inc
• Jason Sharp
• Shaver Holdings Inc
• Shaver Holdings, Inc. (Shaver Pharmacy & Compounding Center)
• James Shaw, MD
• Leeann Kristin Shaw
• Dian Shawver, LMSW

• Community/Retail Pharmacy in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.