Active NPI
Shawn Konwick, PHARM.D.
- Pharmacist
- Ringgold, GA
National Provider Identifier
1548024979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH021633
- Practice address
- 150 Highway 41
Ringgold, GA 30736-8525 - Phone
- (706) 891-2610
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021633 | GA | Primary |
Addresses
Primary practice location
150 Highway 41
Ringgold, GA 30736-8525
Mailing address
996 Jays Way
Ringgold, GA 30736-8981
Phone (678) 634-6495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021633 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K -VA -T Food Stores Inc | Current | Accepting new patients | |
| K VA T Food Stores Inc | Past | Accepting new patients |
Locations
150 Highway 41
Ringgold, GA 30736
Phone (706) 891-2610
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ringgold, GA
- NPI 1649746132
-
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1245038512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1548024979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 JAYS WAY",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368981",
"telephone_number": "678-634-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 HIGHWAY 41",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368525",
"telephone_number": "706-891-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONWICK",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH021633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.