What is Randy Ivanov's NPI number?

Randy Ivanov's National Provider Identifier (NPI) is 1508149188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Randy Ivanov's specialty?

Randy Ivanov is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Randy Ivanov located?

Randy Ivanov's practice location on file with NPPES is 3205 E Washington St, Indianapolis, IN 46201-4207.

What is Randy Ivanov's phone number?

The practice phone number listed in the NPPES registry for Randy Ivanov is (317) 681-1111.

Is Randy Ivanov's NPI active?

Yes — Randy Ivanov's NPI (1508149188) is active in the NPPES registry as of the last update on 2011-09-21.

IndividualActive

Randy Ivanov, PHARM.D.

NPI 1508149188 · Pharmacist · Indianapolis, IN

Randy Ivanov, PHARM.D. is a Pharmacist provider in Indianapolis, IN (NPI 1508149188).

Provider details

NPI number: 1508149188
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARM.D.
Sex: Male
Sole proprietor: No
License: 26023680A (IN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 26023680A (IN)
Pharmacy Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 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

3205 E Washington St

Indianapolis, IN 46201-4207

Phone: (317) 681-1111

Street-level locationGet directions

Mailing address