Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary Jack Ivie

Individual provider Pharmacist · NPI 1114335205

Zachary Jack Ivie is a Pharmacist in Afton, Wyoming. Licensed in Idaho and Wyoming. Registered with an NPI since 2014.

Licensed in
ID, WY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

679 S Washington St
Afton, WY 83110-6000
Phone: (307) 885-9804
Fax: (307) 885-9760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3757 (WY)
Pharmacist Taxonomy 183500000X · Licence P7041 (ID)

Record details

NPI number1114335205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2014
Last updated in NPPESAugust 22, 2016

Other providers in Afton