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

Mr. Ivan Michael Desantis, RPH

Individual provider Pharmacist · NPI 1740024603

Mr. Ivan Michael Desantis, RPH is a Pharmacist in Roseville, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2231 Douglas Blvd Ste 100
Roseville, CA 95661-4264
Phone: (916) 244-2085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 43890 (CA)

Record details

NPI number1740024603
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address4455 Connecticut Ave Nw Apt 605, Washington, DC 20008-2338

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