Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740024603 Individual Practitioner Male Practitioner

Ivan Michael Desantis , RPH

Pharmacist • Roseville, CA

Professional Overview & Biography Verified Profile Summary

Ivan Desantis, RPH is a registered healthcare professional specializing in Pharmacist in Roseville, CA. Practice services are available at 2231 DOUGLAS BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2231 Douglas Blvd Ste 100

Roseville, CA 956614264

Telephone 9162442085
Associated Practice Facility / Clinic
🏢 Family Physical Therapy, Inc Facility NPI 1043337272

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Roseville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
261 Specialists

Practicing in Roseville, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 43890

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Anh Bui

Physical Therapist

NPI 1245043124

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2024

Registered at 2231 DOUGLAS BLVD STE 100, ROSEVILLE, CA 956614264 (Tel: 9162442085)

📍
Updated Business Mailing Address June 24, 2024

Registered at 4455 CONNECTICUT AVE NW APT 605, WASHINGTON, DC 200082338 (Tel: 3235294047)

👤
Provider Name / Credentials Updated June 24, 2024

Recorded as IVAN DESANTIS, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Pharmacist (License #43890 in CA)

🟢
Initial NPI Registration & Enumeration June 24, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740024603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2024
Last Update: June 24, 2024
Sole Proprietor: No

Mailing Address

4455 Connecticut Ave Nw Apt 605

Washington, DC 200082338

Phone: 3235294047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.