Ivy Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IVY PHARMA INC

Practice address

16854 Ivy Ave Ste C
Fontana, CA 92335-1504

Phone

(909) 321-5588

Fax

(909) 321-5595

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Ashraf Alfred, PHARM D

Title

President/Ceo

Phone

(909) 321-5588

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IVY PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita Riad Albert, RPH

  • Pharmacist
  • Fontana, CA
  • NPI 1568234532
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1841970647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16854 IVY AVE STE C",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351504",
            "telephone_number": "909-321-5588",
            "fax_number": "909-321-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16854 IVY AVE STE C",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351504",
            "telephone_number": "909-321-5588",
            "fax_number": "909-321-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "ALFRED",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-321-5588",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59123",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hicret Islamoglu, DMD
• Andrew Israil
• Joshua Issler, MD
• Guy Gen Ito, PHARMD.
• Aaron Iverson, CRNA
• Eduardo Miguel Izquierdo, P.T.
• J & L Abo, Apc
• J&J Living Solutions, LLC
• Bette-Lee Jablow, MD
• David Jacaban

• Community/Retail Pharmacy in Fontana, CA
• Providers in Fontana, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.