OrganizationActive
Ivna Medical Group LLC
NPI 1013062090 · Community/Retail Pharmacy · Independence, MO
Provider details
- NPI number
- 1013062090
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vikranth Anneboina, Member(816) 356-4600
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4811 S Arrowhead Dr
Independence, MO 64055-6981
Phone: (816) 356-4600
Fax: (816) 353-7296
Street-level locationGet directions
Mailing address
4811 S Arrowhead Dr
Independence, MO 64055-6981
Other names (DBA / former)
- Doing business as
- Stadium Pharmacy
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2017-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.