Active NPI
Joshua Shaub, PHARM. D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Yakima, WA
National Provider Identifier
1740663640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH60572345
- Practice address
- 1206 N 40TH Ave
Yakima, WA 98908-9456 - Phone
- (509) 576-6833
- Fax
- (509) 576-6827
- NPI assigned
- Jul 9, 2015
- Last updated
- Feb 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60572345 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH60572345 | WA | Primary |
Addresses
Primary practice location
1206 N 40TH Ave
Yakima, WA 98908-9456
Mailing address
1206 N 40TH Ave
Yakima, WA 98908-9456
Phone (509) 576-6833
Other practice location 1
205 N 5th Ave
Yakima, WA 98902-2643
Phone (509) 457-8869
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 |
|---|---|---|---|
| PH60572345 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1740663640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 N 40TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989089456",
"telephone_number": "509-576-6833",
"fax_number": "509-576-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 N 40TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989089456",
"telephone_number": "509-576-6833",
"fax_number": "509-576-6827"
}
],
"practiceLocations": [
{
"address_1": "205 N 5th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989022643",
"country_code": "US",
"telephone_number": "509-457-8869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAUB",
"first_name": "JOSHUA",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60572345",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH60572345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.