ALEXANDRE IVANOV
NPI 1851269823
Pharmacist - Nutrition Support in Lawrenceville, GA

Active since October 29, 2025
2512 YOUNG AMERICA DR, LAWRENCEVILLE, GA 30043(909) 224-4220 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandre Ivanov NPPES

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

ALEXANDRE IVANOV (NPI 1851269823) is an individual nutrition support provider in Lawrenceville, Georgia, licensed in Georgia (RPH029265) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1851269823
Entity TypeIndividualMale
Primary Taxonomy1835N1003X
Provider Legal NameALEXANDRE IVANOV
Location Address2512 YOUNG AMERICA DRLawrenceville, GA 30043-8002
Mailing Address2512 Young America DrLawrenceville, GA 30043-8002
Sole ProprietorYes
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1851269823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
License Licensed in GA · RPH029265
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
2512 YOUNG AMERICA DR, Lawrenceville, GA 30043

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 Alexandre Ivanov's NPI number?

The NPI number for Alexandre Ivanov is 1851269823. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Alexandre Ivanov located?

Alexandre Ivanov practices at 2512 Young America Dr, Lawrenceville, GA 30043. The listed phone number is (909) 224-4220.

What is Alexandre Ivanov's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

When was this NPI record last updated?

The NPPES record for Alexandre Ivanov was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.