MARK IVANTSOV PHD
NPI 1033827688
Pharmacist in Arnold, MO

Active since November 14, 2022
860 ARNOLD COMMONS DR, ARNOLD, MO 63010(636) 282-4817 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Ivantsov Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK IVANTSOV PHD (NPI 1033827688) is an individual pharmacist in Arnold, Missouri, licensed in Missouri (2022044966) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1033827688
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMARK IVANTSOVCredential: PHD
Location Address860 ARNOLD COMMONS DRArnold, MO 63010-2164
Mailing Address5918 Woodbrook DrSaint Louis, MO 63129-7219 · (314) 607-5056
Sole ProprietorNo
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 13, 2022
NPI 1033827688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2022044966
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.

860 ARNOLD COMMONS DR, Arnold, MO 63010

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
860 ARNOLD COMMONS DR
ARNOLD, MO 63010
Pharmacist
860 ARNOLD COMMONS DR
ARNOLD, MO 63010
Pharmacist
860 ARNOLD COMMONS DR
ARNOLD, MO 63010
Pharmacy (Community/Retail Pharmacy)
860 ARNOLD COMMONS DR
ARNOLD, MO 63010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033827688, enumerated as an "individual" on November 14, 2022.

The provider is located at 860 ARNOLD COMMONS DR ARNOLD, MO 63010 and the phone number is (636) 282-4817.

Pharmacist with taxonomy code 183500000X.