Active NPI
Ivanhoe Drug
- Pharmacy
- Ivanhoe, CA
National Provider Identifier
1528051786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY 32581
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA 325810 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.