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

Miss. Henrietta Ann Ivy

Individual provider Pharmacist · NPI 1275915571

Miss. Henrietta Ann Ivy is a Pharmacist in Gurnee, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

5575 Chapel Hl
Gurnee, IL 60031-1082
Phone: (847) 855-8106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051040617 (IL)

Record details

NPI number1275915571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2015
Last updated in NPPESJune 23, 2015

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