IndividualActive
Marina Ivanov
NPI 1174116255 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Scottsdale, AZ
Provider details
- NPI number
- 1174116255
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- S022767 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 342-1500
Street-level locationGet directions
Mailing address
4175 E Wildcat Dr
Cave Creek, AZ 85331-3847
Additional practice locations (1)
- 5777 E Mayo BlvdPhoenix, AZ 85054-4502Phone: (480) 342-1500
Registry dates
- Enumerated
- 2021-02-19
- Last updated
- 2021-02-19
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.