Ivys Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IVYS MEDICAL SUPPLIES INC

Practice address

1882 Main Street
Inez, KY 41224-0576

Phone

(606) 298-3009

Fax

(606) 298-3004

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Iva Jude

Title

President

Phone

(606) 298-3009

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1124020334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412240576",
            "telephone_number": "606-298-3009",
            "fax_number": "606-298-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 MAIN STREET",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412240576",
            "telephone_number": "606-298-3009",
            "fax_number": "606-298-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYS MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JUDE",
        "authorized_official_first_name": "IVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-298-3009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "000001184018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF K",
            "identifier": "000000112867",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000006800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Horn, RPH
• Inez Drug Store Inc
• Inez Elementary School Clinic
• Inez Middle School Clinic
• Inez Physical Therapy Inc
• Patricia Elizabeth Johnson, PHARMACIST
• Destiny Paige Jude
• Lon E Lafferty, MD
• Natasha N Leach, LCSW
• Lon Lafferty MD PSC

• All providers in Inez, KY
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.