Ivation Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

IVATION PHARMACY LLC

Practice address

305 N Heatherwilde Blvd Ste 220
Pflugerville, TX 78660-4192

Phone

(512) 549-8519

Fax

(866) 676-5890

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Michael Nameth

Title

Evp, Cloud and Specialty Pharmacy

Phone

(412) 266-5515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ivation DTP Other name

Locations

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1457084253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 220",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 220",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604192",
            "telephone_number": "512-549-8519",
            "fax_number": "866-676-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVATION PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "NAMETH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EVP, CLOUD AND SPECIALTY PHARMACY",
        "authorized_official_telephone_number": "412-266-5515"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "34351",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivation DTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.