IndividualActive
Alexandre Ivanov
NPI 1851269823 · Nutrition Support Pharmacist · Lawrenceville, GA
Alexandre Ivanov is a Nutrition Support Pharmacist provider in Lawrenceville, GA (NPI 1851269823).
Provider details
- NPI number
- 1851269823
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH029265 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2512 Young America Dr
Lawrenceville, GA 30043-8002
Phone: (909) 224-4220
Street-level locationGet directions
Mailing address
2512 Young America Dr
Lawrenceville, GA 30043-8002
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is Alexandre Ivanov's NPI number?
- Alexandre Ivanov's National Provider Identifier (NPI) is 1851269823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alexandre Ivanov's specialty?
- Alexandre Ivanov is listed in the NPPES registry with a primary specialty of Nutrition Support Pharmacist (Pharmacy Service Providers).
- Where is Alexandre Ivanov located?
- Alexandre Ivanov's practice location on file with NPPES is 2512 Young America Dr, Lawrenceville, GA 30043-8002.
- What is Alexandre Ivanov's phone number?
- The practice phone number listed in the NPPES registry for Alexandre Ivanov is (909) 224-4220.
- Is Alexandre Ivanov's NPI active?
- Yes — Alexandre Ivanov's NPI (1851269823) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.