Brian Avery Shaw, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

018619 Issued in KY

Practice address

890 Richmond PLZ
Richmond, KY 40475-2564

Phone

(859) 624-1093

Fax

(859) 625-9386

NPI assigned

Mar 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1124653621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 RICHMOND PLZ",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752564",
            "telephone_number": "859-624-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 RICHMOND PLZ",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752564",
            "telephone_number": "859-624-1093",
            "fax_number": "859-625-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BRIAN",
        "middle_name": "AVERY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "018619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Shafran, MD
• Sheena N Shaft
• Gaurang B Shah, M.D.
• Shanna Sharber, M.D.
• Sheldon Thomas Sharpe, B.S.,D.C.
• Charles Philip Shaw, D.O.
• Thea T. Shearer, O.D.
• Richard A. Shelton, M.D.
• Hillary Shepherd
• Jagannath M Sherigar, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Richmond, KY
• Providers in Richmond, KY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.