Organization Active NPI

IV Stat Inc

Doing business as Specialty Pharmacy Services

  • Specialty Pharmacy
  • Fort Walton Beach, FL
National Provider Identifier
1073025193
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
IV STAT INC
Doing business as
Specialty Pharmacy Services
Practice address
533 Eglin Pkwy NE
Fort Walton Beach, FL 32547-2829
Phone
(850) 226-8162
Fax
(850) 226-8485
NPI assigned
Oct 30, 2017
Organization subpart
Yes
Parent organization
IV STAT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Tracy Lynn McMorrowNPI 1891806204
Title
Owner
Phone
(852) 226-8162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

533 Eglin Pkwy NE
Fort Walton Beach, FL 32547-2829

Mailing address

533 Eglin Pkwy NE
Fort Walton Beach, FL 32547-2829
Phone (850) 226-8162

Other names 1

  • SPECIALTY PHARMACY SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130115000326 FL Part B Supplier - Mass Immunization (Roster Biller Only) 5597918987 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Walton Beach, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Specialty Pharmacy Services

Locations

533 Eglin Pkwy NE
Ft Walton Bch, FL 32547
Phone (850) 226-8162

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1073025193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 EGLIN PKWY NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472829",
            "telephone_number": "850-226-8162",
            "fax_number": "850-226-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 EGLIN PKWY NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472829",
            "telephone_number": "850-226-8162",
            "fax_number": "850-226-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV STAT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IV STAT INC",
        "enumeration_date": "2017-10-30",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "MCMORROW",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "852-226-8162"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALTY PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.