Healthcare Provider Details
I. General information
NPI: 1154240620
Provider Name (Legal Business Name): IVX PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9551 IRVINE CENTER DR
IRVINE CA
92618-4654
US
IV. Provider business mailing address
9551 IRVINE CENTER DR
IRVINE CA
92618-4654
US
V. Phone/Fax
- Phone: 949-805-1188
- Fax:
- Phone: 949-805-1188
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRIS
MUNOZ
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM.D.
Phone: 714-478-9587