Organization Active NPI

Ivanhoe Drug

  • Pharmacy
  • Ivanhoe, CA
National Provider Identifier
1528051786
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 32581 Issued in CA
Legal business name
IVANHOE DRUG
Practice address
33060 Road 159
Ivanhoe, CA 93235-1235
Phone
(559) 798-0861
Fax
(559) 798-1815
NPI assigned
Aug 23, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary C Ohanesian, RPH.
Title
Pic / Pharmacist
Phone
(559) 798-0861

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY 32581 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY 32581 CA
Pharmacy 333600000X PHY 32581 CA Primary

Addresses

Primary practice location

33060 Road 159
Ivanhoe, CA 93235-1235

Mailing address

33060 Road 159
Ivanhoe, CA 93235-1235
Phone (559) 798-0861

Other identifiers 1

IdentifierTypeStateIssuer
PHA 325810MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528051786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33060 ROAD 159",
            "city": "IVANHOE",
            "state": "CA",
            "postal_code": "932351235",
            "telephone_number": "559-798-0861",
            "fax_number": "559-798-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33060 ROAD 159",
            "city": "IVANHOE",
            "state": "CA",
            "postal_code": "932351235",
            "telephone_number": "559-798-0861",
            "fax_number": "559-798-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANHOE DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OHANESIAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PIC / PHARMACIST",
        "authorized_official_telephone_number": "559-798-0861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY 32581",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY 32581",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 32581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 325810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivanhoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.