Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033827688 Individual Practitioner Male Practitioner

Dr. Mark Ivantsov , PhD

Pharmacist • Arnold, MO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ivantsov, PhD is a registered healthcare professional specializing in Pharmacist in Arnold, MO. Practice services are available at 860 ARNOLD COMMONS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

860 Arnold Commons Dr

Arnold, MO 630102164

Telephone 6362824817
Associated Practice Facility / Clinic
🏢 Dierbergs Markets Inc Facility NPI 1417121385

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Arnold, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
41 Specialists

Practicing in Arnold, MO (5469 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: 2022-11-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2022044966

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

2 Associated Practitioners
NPI 1427332113

Doctor of Pharmacy (Pharm.D.)

Robert Mayer

Pharmacist

NPI 1528407483

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2022

Registered at 860 ARNOLD COMMONS DR, ARNOLD, MO 630102164 (Tel: 6362824817)

📍
Updated Business Mailing Address November 14, 2022

Registered at 5918 WOODBROOK DR, SAINT LOUIS, MO 631297219 (Tel: 3146075056)

👤
Provider Name / Credentials Updated November 14, 2022

Recorded as MARK IVANTSOV, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2022

Pharmacist (License #2022044966 in MO)

🟢
Initial NPI Registration & Enumeration November 14, 2022

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: 1033827688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2022
Last Update: November 14, 2022
Sole Proprietor: No

Mailing Address

5918 Woodbrook Dr

Saint Louis, MO 631297219

Phone: 3146075056

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.