Individual provider Active NPI

Charles Andrew Shasky, B.SCI.PHARM., PH.D.

  • Oncology Pharmacist
  • Ashland, VA
National Provider Identifier
1891702262
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
0202005580 Issued in VA
Practice address
9299 Monongahela TRL
Ashland, VA 23005-3389
Phone
(804) 550-0415
Fax
(804) 550-0415
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202005580 VA
Pharmacotherapy Pharmacist 1835P1200X 0202005580 VA
Psychiatric Pharmacist 1835P1300X 0202005580 VA
Oncology Pharmacist 1835X0200X 0202005580 VA Primary
Research Study Specialist 1744R1102X

Addresses

Primary practice location

9299 Monongahela TRL
Ashland, VA 23005-3389

Mailing address

9299 Monongahela TRL
Ashland, VA 23005-3389
Phone (804) 550-0415

Other identifiers 1

IdentifierTypeStateIssuer
0202005580OtherVAPHARMACIST LICENSE

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 Philosophy

State licenses

LicenseStateTypeSpecialty
0202005580VAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1891702262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 MONONGAHELA TRL",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230053389",
            "telephone_number": "804-550-0415",
            "fax_number": "804-550-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 MONONGAHELA TRL",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230053389",
            "telephone_number": "804-550-0415",
            "fax_number": "804-550-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASKY",
        "first_name": "CHARLES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "B.SCI.PHARM., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202005580",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202005580",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "VA",
            "license": "0202005580",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "VA",
            "license": "0202005580",
            "primary": true
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "0202005580",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.