Paul Scott Iverson, BPHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

1137215 Issued in MN

Practice address

408 Minnesota Ave NW
Bemidji, MN 56601-3127

Phone

(218) 444-3000

Fax

(218) 444-6640

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Iverson Corner Drug Inc

  • Community/Retail Pharmacy
  • Bemidji, MN
  • NPI 1184723611
  NPD (past)
• Iverson Corner Drug Inc

  • Long Term Care Pharmacy
  • Bemidji, MN
  • NPI 1245964048
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1962484550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MINNESOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013127",
            "telephone_number": "218-444-3000",
            "fax_number": "218-444-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MINNESOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013127",
            "telephone_number": "218-444-3000",
            "fax_number": "218-444-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "PAUL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "1137215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Irwin, PSY.D.
• Elena Ivanova, DO
• Iverson Corner Drug Inc
• Iverson Corner Drug Inc
• Baley Lynn Iverson, PHARMD
• J and D Optical Inc.
• Kalee Marie Jabs
• Heather Jackson, PHARMD
• Jeremy James Jacobs
• Jennifer Jacobson

• Pharmacist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.