Active NPI
Jane Workman Ivey, RPH
- Pharmacist
- Waterloo, SC
National Provider Identifier
1639452899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2928
- Practice address
- 363 Ridgewood Dr
Waterloo, SC 29384-5011 - Phone
- (864) 677-3983
- Fax
- (864) 677-2026
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 2928 | SC | Primary |
Addresses
Primary practice location
363 Ridgewood Dr
Waterloo, SC 29384-5011
Mailing address
363 Ridgewood Dr
Waterloo, SC 29384-5011
Phone (864) 677-3983
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2928 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1639452899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 RIDGEWOOD DR",
"city": "WATERLOO",
"state": "SC",
"postal_code": "293845011",
"telephone_number": "864-677-3983",
"fax_number": "864-677-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 RIDGEWOOD DR",
"city": "WATERLOO",
"state": "SC",
"postal_code": "293845011",
"telephone_number": "864-677-3983",
"fax_number": "864-677-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "JANE",
"middle_name": "WORKMAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "2928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.