Jenna E Ivie, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2019028671 Issued in MO

Practice address

225 S 3Rd St
Hayti, MO 63851-1617

Phone

(573) 359-1646

Fax

(573) 359-2266

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Elizabeth Hawkins Former name

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.

• Semo Drugs of Hayti

  • Pharmacy
  • Hayti, MO
  • NPI 1417631888
  NPD
• Donna Ring Corporation

  • Community/Retail Pharmacy
  • Hayti, MO
  • NPI 1669517215
  NPD (past)
• Semo Drugs of Kennett Inc

  • Community/Retail Pharmacy
  • Kennett, MO
  • NPI 1548349715
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1912543703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S 3RD ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511617",
            "telephone_number": "573-359-1646",
            "fax_number": "573-359-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 3RD ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511617",
            "telephone_number": "573-359-1646",
            "fax_number": "573-359-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 1st St",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572526",
            "country_code": "US",
            "telephone_number": "573-888-8880 x57388",
            "fax_number": "573-888-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVIE",
        "first_name": "JENNA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019028671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HAWKINS",
            "middle_name": "ELIZABETH",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Lea Holifield
• Latasha Hollywood
• Rachel Elizabeth Hopkins
• Lara Huffman, M.D.
• William Hunter, LCSW
• Derek Luther Jackson, B.S.
• Pamela Kay Jackson
• Sharlletta Jackson
• Teresa A Jackson, MA CCC SLP
• Brenda James

• Pharmacist in Hayti, MO
• Providers in Hayti, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.