National Provider Identifier

Ivan Valodzka

Ivan Valodzka is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 461-3995.

NPI 1124907605Rochester, NYPharmacist

Profile Overview

NPI
1124907605
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
August 29, 2025
Last Updated
August 29, 2025

Practice Location

  • 2100 Monroe Ave
  • Rochester, NY 14618-2408

Phone: (585) 461-3995

Mailing Address

  • 24 Mango Ln
  • Rochester, NY 14606-4329

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1124907605
Entity Type
Individual
Last Name
Valodzka
First Name
Ivan
Mailing Street Address
24 Mango Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-4329
Mailing Country
US
Mailing Phone
(585) 490-1703
Practice Street Address
2100 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2408
Practice Country
US
Practice Phone
(585) 461-3995
Enumeration Date
August 29, 2025
Last Updated
August 29, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
August 29, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)