NPIMap

Organization Active NPI

Ivg Hospitals Inc

Doing business as IVG Veterinary Compounding Pharmacy

  • Compounding Pharmacy
  • Woburn, MA
National Provider Identifier
1629404512
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
DS89887 Issued in MA
Legal business name
IVG HOSPITALS INC
Doing business as
IVG Veterinary Compounding Pharmacy
Practice address
20 Cabot Rd
Woburn, MA 01801-1004
Phone
(781) 897-6936
Fax
(781) 897-6937
NPI assigned
Sep 24, 2013
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Justin McDowellNPI 1497915375
Title
Pharmacy Manager
Phone
(781) 897-6936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X DS89887 MA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

20 Cabot Rd
Woburn, MA 01801-1004

Mailing address

20 Cabot Rd
Woburn, MA 01801-1004
Phone (781) 897-6936

Other identifiers 1

IdentifierTypeStateIssuer
2148659OtherPK

Other names 1

  • IVG Veterinary Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

20 Cabot Rd
Woburn, MA 01801
Phone (781) 932-5802

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1629404512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CABOT RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011004",
            "telephone_number": "781-897-6936",
            "fax_number": "781-897-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CABOT RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011004",
            "telephone_number": "781-897-6936",
            "fax_number": "781-897-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVG HOSPITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "781-897-6936"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MA",
            "license": "DS89887",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVG Veterinary Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.