Healthcare Provider Details

I. General information

NPI: 1386552560
Provider Name (Legal Business Name): SHYE WILLIAMS CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 MENTOR AVE
PAINESVILLE OH
44077-1705
US

IV. Provider business mailing address

924 DEVONSHIRE AVE
SHEFFIELD LAKE OH
44054-2000
US

V. Phone/Fax

Practice location:
  • Phone: 440-354-5609
  • Fax: 440-358-1465
Mailing address:
  • Phone: 440-354-5609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: