Jamie Carol Ivy, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD10356 Issued in AR

Practice address

120 S 4TH St
Heber Springs, AR 72543-3810

Phone

(501) 362-5853

Fax

(501) 500-6380

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

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.

• Ivy Family Pharmacy, Inc

  dba Family Disco Pharmacy

  • Community/Retail Pharmacy
  • Heber Springs, AR
  • NPI 1093118945
  NPD Authorized official

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1740879931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 4TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433810",
            "telephone_number": "501-362-5853",
            "fax_number": "501-500-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 4TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433810",
            "telephone_number": "501-362-5853",
            "fax_number": "501-500-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "JAMIE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205482407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Blake Hutchins, PHARM D
• Lorie Hutto
• Jennifer C Inman, HIS
• Ivy Family Pharmacy, Inc (Family Disco Pharmacy)
• Ivy Physical Therapy, Inc
• Laura Lynn Ivy
• Jennifer Diane Jenkins, APN
• Sarah Witt Jewell, M.D.
• Douglas Johnson
• Joseph B Sugg, O.D., P.a. (Bailey Vision Clinic)

• Pharmacist in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.