IVANHOE PHARMACY INC
NPI 1689927816
Pharmacy - Community/Retail Pharmacy in Ivanhoe, CA
- Organization
- Pharmacy
- Community/Retail Pharmacy
About IVANHOE PHARMACY INC
This page provides the complete NPI Profile along with additional information for Ivanhoe Pharmacy Inc, a provider established in Ivanhoe, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1689927816 assigned on October 2012. The practitioner's primary taxonomy code is 3336C0003X with license number PHY51138 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Edward J Derderian Pharm.d.; R.ph. (Owner/pharmacist)
- NPI
- 1689927816 Verify this NPI
- Provider Name
- IVANHOE PHARMACY INC
- Entity Type
- Organization
- Location Address
- 33060 ROAD 159 IVANHOE, CA 93235
- Location Phone
- (559) 798-1219
- Location Fax
- (559) 798-0975
- Mailing Address
- 33060 ROAD 159 IVANHOE, CA 93235
- Mailing Phone
- (559) 798-1219
- Mailing Fax
- (559) 798-0975
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2012
- Last Update Date
- 12-03-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- PHY51138
- License State
- CA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5645683 | OTHER (01) | CA | NCPDP |
| 1689927816 | MEDICAID (05) | CA | |
| 6903520001 | MEDICARE NSC (07) | CA |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689927816, enumerated as an "organization" on October 25, 2012.
The provider is located at 33060 ROAD 159 IVANHOE, CA 93235 and the phone number is (559) 798-1219.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
