Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235779125 Individual Practitioner Male Practitioner

Dr. Jacob Ivey , PharmD

Pharmacist • Marion, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Ivey, PharmD is a registered healthcare professional specializing in Pharmacist in Marion, IL. Practice services are available at 3333 W DEYOUNG ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 W Deyoung St

Marion, IL 629595884

Telephone 6189987821
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Marion, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2013011981

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist
2013011981 (MO)
Commercial Insurance / Payer ID Pharmacist
PS60361 (FL)
Commercial Insurance / Payer ID Pharmacist
051.291535 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
David Blue , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013230119

Certified Registered Nurse Anesthetist

Madison Towers , CCC-SLP

Speech-Language Pathologist

NPI 1023824281

Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Kehinde Ganiyu , MD

Emergency Medicine

NPI 1043278237

Doctor of Medicine (M.D.)

NPI 1043620248

Doctor of Medicine (M.D.)

Camela Horman

Occupational Therapist

NPI 1083446181
Michelle Mc Lain , APN

Nurse Practitioner

NPI 1104102474

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2020

Registered at 3333 W DEYOUNG ST, MARION, IL 629595884 (Tel: 6189987821)

📍
Updated Business Mailing Address January 08, 2020

Registered at 11795 SONGBIRD RD, MARION, IL 629596877 (Tel: 6186941075)

👤
Provider Name / Credentials Updated January 08, 2020

Recorded as JACOB IVEY, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2020

Pharmacist (License #2013011981 in MO)

🟢
Initial NPI Registration & Enumeration January 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235779125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2020
Last Update: November 27, 2023
Sole Proprietor: Yes

Mailing Address

11795 Songbird Rd

Marion, IL 629596877

Phone: 6186941075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.