Ivan Shockley Stewart, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

33579 Issued in NC

Practice address

60 Airport Rd
Arden, NC 28704-9405

Phone

(828) 684-6803

NPI assigned

Feb 1, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Arden, NC
  • NPI 1063439206
  NPD (past)

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1336953389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 FLINT AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601622",
            "telephone_number": "704-996-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AIRPORT RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049405",
            "telephone_number": "828-684-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "IVAN",
        "middle_name": "SHOCKLEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "33579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Starr
• David Frank Stegall, P.A.
• Cynthia A Stephens, FNP
• Michael D Stephens, MD
• Catherine J Stewart, ANP-BC
• Heather Lindsey Strauss, PA-C
• Amber Bethany Strother, M.D.
• Sunlight Assisted Living
• Julius Albert Suttle III, LPC
• Leah Swann, M.D.

• Pharmacist in Arden, NC
• Providers in Arden, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.