Iveys Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6622-42 Issued in WI

Legal business name

IVEYS PHARMACY INC

Doing business as

IVEYS PHARMACY INC

Practice address

128 High St
Mineral Point, WI 53565-1208

Phone

(608) 987-2336

Fax

(608) 987-2578

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Edward Sayre

Title

President

Phone

(608) 987-2336

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• IVEYS PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1992833263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651208",
            "telephone_number": "608-987-2336",
            "fax_number": "608-987-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651208",
            "telephone_number": "608-987-2336",
            "fax_number": "608-987-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVEYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-987-2336"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6622-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33065900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVEYS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew M Hoftiezer, DMD
• Adrianne Dee Hughes, RN
• Lora Beth Hunter, RN
• Ideal State Consulting
• Integrity Home Care Solutions
• Kami Jorgenson
• Andrea Kaiser, PMHNP
• Margaret Kramer, R.N.
• Josie Lindholm
• Everett R Lindsey, MD

• Community/Retail Pharmacy in Mineral Point, WI
• Providers in Mineral Point, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.