Active NPI
Ivy Simmons, PHARMD
- Pharmacist
- Hinesville, GA
National Provider Identifier
1982350666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH027183
- Practice address
- 462 Elma G Miles Pkwy
Hinesville, GA 31313-4000 - Phone
- (912) 369-9478
- NPI assigned
- Feb 22, 2022
- Last updated
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 | RPH027183 | GA | Primary |
Addresses
Primary practice location
462 Elma G Miles Pkwy
Hinesville, GA 31313-4000
Mailing address
476 Stonebridge Cir
Savannah, GA 31419-9854
Phone (229) 221-1106
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027183 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1982350666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 STONEBRIDGE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314199854",
"telephone_number": "229-221-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 ELMA G MILES PKWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134000",
"telephone_number": "912-369-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "IVY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.