Active NPI
John Boyce Ivers, PHARMACIST
- Pharmacist
- Round Rock, TX
National Provider Identifier
1174548515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38178
- Practice address
- 700 Louis Henna Blvd Apt 622
Round Rock, TX 78664-5743 - Phone
- (512) 382-4093
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38178 | TX | Primary |
Addresses
Primary practice location
700 Louis Henna Blvd Apt 622
Round Rock, TX 78664-5743
Mailing address
700 Louis Henna Blvd Apt 622
Round Rock, TX 78664-5743
Phone (512) 922-6022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38178 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174548515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LOUIS HENNA BLVD APT 622",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786645743",
"telephone_number": "512-922-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LOUIS HENNA BLVD APT 622",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786645743",
"telephone_number": "512-382-4093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERS",
"first_name": "JOHN",
"middle_name": "BOYCE",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.