Travaisha Wenae Shaw, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

60321 Issued in SC

Practice address

7412 Broad River Rd
Irmo, SC 29063-9662

Phone

(803) 749-3046

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

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

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  • Pharmacy
  • Irmo, SC
  • NPI 1033122635
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1336971811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639662",
            "telephone_number": "803-749-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639662",
            "telephone_number": "803-749-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TRAVAISHA",
        "middle_name": "WENAE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant L Sebastiano, D.C.
• Shady Grove Chiropractic, LLC
• Shai's Coaching and Counseling LLC (Shai's Coaching and Counseling)
• Katelyn W Sharpe, PTA
• Timothea NMN Sharpe, MSW, M.DIV., LISW-CP
• Erin Mays Shealy, APRN, FNP
• Megan Shelton, PT
• Denise Ann Sherman, R.N.
• Tanya Shipley, RN
• Chasity A Shipman

• Pharmacist in Irmo, SC
• Providers in Irmo, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.