Organization
IVNA PHARMACY SERVICES LLC
Active
Other names
Stadium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRANTH K ANNEBOINA (OWNER)
(636) 544-4525
Entity
Organization
Contact information
Practice address
1741 NE DOUGLAS ST STE 102, LEES SUMMIT, MO 64086-4704
(636) 544-4525
Mailing address
1741 NE DOUGLAS ST STE 102, LEES SUMMIT, MO 64086-4704
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2017040100
MO
Other
Enumeration date
11/13/2017
Last updated
06/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up