Darryl Ivanson, RPH is a
Pharmacist based in Springville, Indiana. Darryl Ivanson is licensed to practice in New York (license number 050689-1) and his current practice location is
407 Foxridge Dr, Springville, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 583-3962.
NPI number for Darryl Ivanson is 1699140061 and his current mailing address is 407 Foxridge Dr, Springville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699140061.
Healthcare Provider's Profile
| Full Name | Darryl Ivanson |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 407 Foxridge Dr, Springville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699140061
- Provider Enumeration Date: 12/10/2015
- Last Update Date: 12/10/2015
Medical Identifiers
Medical identifiers for Darryl Ivanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699140061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 050689-1 (New York) | Primary |
| 183500000X | Pharmacist | 26018275A (Indiana) | Secondary |
| 183500000X | Pharmacist | 051.290856 (Illinois) | Secondary |
| 183500000X | Pharmacist | RPH.03226607-2 (Ohio) | Secondary |
| 183500000X | Pharmacist | 32379 (California) | Secondary |
| 183500000X | Pharmacist | 16918-40 (Wisconsin) | Secondary |
| 183500000X | Pharmacist | 8243223-1701 (Utah) | Secondary |
| 183500000X | Pharmacist | RP446558 (Pennsylvania) | Secondary |
| 183500000X | Pharmacist | 3602 (Wyoming) | Secondary |
| 183500000X | Pharmacist | PHA-PHA-LIC-14205 (Montana) | Secondary |
| 183500000X | Pharmacist | 015983 (Kentucky) | Secondary |
| 183500000X | Pharmacist | PS40894 (Florida) | Secondary |
| 183500000X | Pharmacist | RPH023032 (Georgia) | Secondary |
| 183500000X | Pharmacist | 11578 (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darryl Ivanson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Darryl Ivanson, RPH
407 Foxridge Dr,
Springville, IN 47462-5024
Ph: (812) 583-3962 | Darryl Ivanson, RPH
407 Foxridge Dr,
Springville, IN 47462-5024
Ph: (812) 583-3962 |
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