IVANHOE PHARMACY INC
NPI 1689927816
Pharmacy - Community/Retail Pharmacy in Ivanhoe, CA

Active since October 25, 2012
33060 ROAD 159, IVANHOE, CA 93235(559) 798-1219(559) 798-0975 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ivanhoe Pharmacy Inc NPPES

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

IVANHOE PHARMACY INC (NPI 1689927816) is a healthcare organization registered as a community/retail pharmacy in Ivanhoe, California and active in the NPI registry since October 2012. The organization lists Edward J Derderian, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1689927816
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIVANHOE PHARMACY INC
Location Address33060 ROAD 159Ivanhoe, CA 93235-1235
Mailing Address33060 Road 159Ivanhoe, CA 93235-1235 · (559) 798-1219 · Fax (559) 798-0975
Fax(559) 798-0975
Organization SubpartNo
Authorized OfficialEdward J DerderianOwner/pharmacist · (559) 798-1219
Enumeration DateOctober 25, 2012
Last NPPES UpdateDecember 3, 2013
NPI 1689927816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY51138
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
33060 ROAD 159, Ivanhoe, CA 93235

Other Identifiers 3

Other5645683CA · Ncpdp
Medicaid1689927816CA
Medicare NSC6903520001CA

Other Providers at the Same Location NPPES

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

Pharmacy
33060 ROAD 159
IVANHOE, CA 93235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivanhoe Pharmacy Inc's NPI number?

The NPI number for Ivanhoe Pharmacy Inc is 1689927816. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Ivanhoe Pharmacy Inc located?

Ivanhoe Pharmacy Inc is located at 33060 Road 159, Ivanhoe, CA 93235. The listed phone number is (559) 798-1219.

What is Ivanhoe Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Ivanhoe Pharmacy Inc was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.