Michael Alfred Shaw, R.PH.
Individual provider Active NPI Pharmacist · Crowell, TX
NPI 1972150191 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1972150191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19719 (TX)
- Practice address
- 102 E Commerce
Crowell, TX 79227 - Phone
- (940) 684-1581
- Fax
- (940) 684-1860
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19719 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Pharmacy | Current |
Accepting new patients | |
| Shaw'S Pharmacy-Crowell | Current |
Accepting new patients |
Locations
102 E Commerce St
Crowell, TX 79227
Phone (940) 684-1581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19719 | TX | Yes |
Addresses
Primary practice location
102 E Commerce
Crowell, TX 79227
Mailing address
PO Box 129
Crowell, TX 79227-0129
Phone (940) 684-1581
Other names
- Mike Shaw
Other providers in Crowell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.