Active NPI
Patrick R Shaw, PHARMD
- Pharmacist
- Liberty, MO
National Provider Identifier
1922649953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2015021192
- Practice address
- 1901 W Kansas St
Liberty, MO 64068-2060 - Phone
- (816) 781-0035
- NPI assigned
- Oct 1, 2019
- 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 | 2015021192 | MO | Primary |
Addresses
Primary practice location
1901 W Kansas St
Liberty, MO 64068-2060
Mailing address
1305 NW Cedar CT
Grain Valley, MO 64029-8370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015021192 | Other | MO | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Patrick.shaw1228@icloud.com | ||
| Direct Messaging Address | Patrick.shaw@cvshealth.com |
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 |
|---|---|---|---|
| 2015021192 | MO | MD | Pharmacist |
Interoperability endpoints
- patrick.shaw@cvshealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1922649953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 NW CEDAR CT",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640298370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W KANSAS ST",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640682060",
"telephone_number": "816-781-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "PATRICK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015021192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2015021192",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Patrick.shaw1228@icloud.com",
"affiliation": "N",
"address_1": "1901 W Kansas St",
"city": "Liberty",
"state": "MO",
"country_code": "US",
"postal_code": "640682060",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Patrick.shaw@cvshealth.com",
"affiliation": "N",
"address_1": "1901 W Kansas St",
"city": "Liberty",
"state": "MO",
"country_code": "US",
"postal_code": "640682060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.