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

Mark Ivantsov, PHD

Individual provider Pharmacist · NPI 1033827688

Mark Ivantsov, PHD is a Pharmacist in Arnold, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

860 Arnold Commons Dr
Arnold, MO 63010-2164
Phone: (636) 282-4817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2022044966 (MO)

Record details

NPI number1033827688
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 13, 2022
Mailing address5918 Woodbrook Dr, Saint Louis, MO 63129-7219

Other providers in Arnold