Organization Active NPI

Shaver Holdings Inc

  • Compounding Pharmacy
  • Pocatello, ID
National Provider Identifier
1902527294
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SHAVER HOLDINGS INC
Practice address
235 S 4TH Ave
Pocatello, ID 83201-6438
Phone
(208) 235-7243
Fax
(208) 235-7277
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAVER HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mr. Daniel Tori Shaver
Title
President
Phone
(208) 235-7243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

235 S 4TH Ave
Pocatello, ID 83201-6438

Mailing address

235 S 4TH Ave
Pocatello, ID 83201-6438
Phone (208) 235-7243

National Provider Directory

National Provider Directory
Tax ID family
Shaver Holdings Inc2 organizations share this tax ID, including this one
Part of
Shaver Holdings Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1902527294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016438",
            "telephone_number": "208-235-7243",
            "fax_number": "208-235-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016438",
            "telephone_number": "208-235-7243",
            "fax_number": "208-235-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVER HOLDINGS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAVER HOLDINGS INC",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-235-7243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.