Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivna Medical Group LLC

Organization Pharmacy · NPI 1013062090

Ivna Medical Group LLC is a Pharmacy in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4811 S Arrowhead Dr
Independence, MO 64055-6981
Phone: (816) 356-4600
Fax: (816) 353-7296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2016039188 (MO)
Pharmacy Taxonomy 333600000X

Record details

NPI number1013062090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vikranth Anneboina — Member · (816) 356-4600
Other names Stadium Pharmacy
NPI enumeratedJanuary 23, 2007
Last updated in NPPESApril 28, 2017
Mailing address4811 S Arrowhead Dr, Independence, MO 64055-6981

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