Healthcare Provider Details

I. General information

NPI: 1689580722
Provider Name (Legal Business Name): KATHY SHAFFER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6628 US ROUTE 60
ASHLAND KY
41102-6523
US

IV. Provider business mailing address

2003 MAN OF WAR DR
RACELAND KY
41169-1682
US

V. Phone/Fax

Practice location:
  • Phone: 606-467-3222
  • Fax:
Mailing address:
  • Phone: 606-923-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number010216
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: