Henry Irvin, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2006038096 Issued in MO

Practice address

610 S 6TH St
Branson, MO 65616-2843

Phone

(417) 336-9355

Fax

(417) 334-4427

NPI assigned

Sep 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Neighbor'S Charitable Pharmacy

  • Community/Retail Pharmacy
  • Branson, MO
  • NPI 1326768722
  NPD Authorized official
• Walgreen Co

  • Pharmacy
  • Branson West, MO
  • NPI 1205091568
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1164704516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TEEPEE LANE",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "65686",
            "telephone_number": "417-272-1112",
            "fax_number": "417-272-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S 6TH ST",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162843",
            "telephone_number": "417-336-9355",
            "fax_number": "417-334-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2006038096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "static.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "610 S 6th St",
            "city": "Branson",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656162843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shahid S Insaf, MD
• Institute for Beauty and Women'S Health LLC
• Institute for Beauty and Womens Health LLC
• Institute for Health and Family Care, LLC
• Spenser Interlicchio
• Its a Wonderful Life LLC
• James J Cesar DO
• Makayla Job
• Benjamin Keith Johnson, MD
• Everett G Johnson III, D.C.

• Pharmacist in Branson, MO
• Providers in Branson, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.