DR. JACOB IVEY


Address: 3333 W Deyoung St, Marion, IL 62959-5884
Phone: 6189987821

DR. JACOB IVEY (NPI# 1235779125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235779125
Entity Type Individual
Full Name DR. JACOB IVEY
Credential PHARM D
Practice Address 3333 W Deyoung St
Marion
IL 62959-5884
Mailing Address 11795 Songbird Rd
Marion
IL 62959-6877
Practice Telephone 6189987821
Mailing Telephone 6186941075
Enumeration Date 2020-01-08
Last Update Date 2020-01-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 2013011981 MO Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO PHARMACIST 2013011981 01
IL PHARMACIST 051.291535 01
FL PHARMACIST PS60361 01

Other Providers JACOB IVEY

NPI Name Taxonomy Address Enumeration
1801283049 Jacob A Ivey Specialist 7521 Jaguar Trl, Falls Church, VA 22042-7511 2015-04-24
1508885369 Jacob A Ivey Optometrist 500 N Church Ave, Louisville, MS 39339-2016 2006-07-19

Office Location

Street Address 3333 W DEYOUNG ST
City MARION
State IL
Zip Code 62959-5884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922007533 New Century Physicians of Southern Illinois Inc Emergency Medicine 3333 W Deyoung St, Marion, IL 62959-5884 2005-07-15
1538774898 Russell Craig Arendt Nurse Anesthetist, Certified Registered 3333 W Deyoung St, Marion, IL 62959-5884 2020-09-14
1811515984 Medcore Diagnostics LLC Pathology 3333 W Deyoung St, Marion, IL 62959-5884 2020-07-06
1942826540 Joseph Michael Logan Oldani Nurse Anesthetist, Certified Registered 3333 W Deyoung St, Marion, IL 62959-5884 2020-06-19
1326662891 Medcore Associates, Pllc Pathology 3333 W Deyoung St, Marion, IL 62959-5884 2020-06-01
1528627833 Gregory Scott Clark Nurse Anesthetist, Certified Registered 3333 W Deyoung St, Marion, IL 62959-5884 2019-06-10
1194297879 Jessica Hays Nurse Practitioner 3333 W Deyoung St, Marion, IL 62959-5884 2018-12-19
1598240145 Amy Jo Blandford Nurse Practitioner 3333 W Deyoung St, Marion, IL 62959-5884 2018-09-29
1306322136 Joshua Richardson Registered Nurse 3333 W Deyoung St, Marion, IL 62959-5884 2018-07-15
1518478122 Gopath Pathology Group, LLC Pathology 3333 W Deyoung St, Marion, IL 62959-5884 2017-10-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730780214 Rhonda Leigh Herrmann Pharmacist 13969 Moore Rd, Marion, IL 62959-6835 2020-11-03
1083234314 Michael Arthur Conrey Pharmacist 2790 7th Ave, Marion, IA 52302-3751 2020-04-16
1689170854 Crystal Lacole Foxworth Pharmacist 1328 N Main St, Marion, SC 29571-2011 2018-04-04
1013410869 Aaron Schmid Pharmacist 1821 W Riga Ave, Marion, IN 46952-1549 2018-03-16
1487153953 Raquel Macfarlane Pharmacist 52 County Rd, Marion, MA 02738 2018-02-09
1154840924 Tashena Elizabeth Hill Pharmacist 520 West Gum St., Marion, KY 42064 2017-09-13
1558750745 Julie Pollard Pharmacist 2875 Sugarhill Road, Marion, NC 28752-5497 2015-01-12
1518214568 Brian Lee Killian Pharmacist 1916 W 10th St, Marion, IN 46953-1239 2012-08-09
1811244734 Adriane Ellen Miller Pharmacist 3037 Brookfield Dr, Marion, IA 52302-4781 2012-08-09
1265719546 Tamalisa L Al-sultan Pharmacist 1321 Delaware Ave, Marion, OH 43302-6421 2011-11-15
Find all providers in MARION

Competitor

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City MARION
Zip Code 62959

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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