Mrs. Yelena Ivanova
Pharmacist
4100 52nd St, Kenosha
Wisconsin, 53144-3900
262-658-0902 262-658-0560
Mrs. Yelena Ivanova is a pharmacist in Kenosha, Wisconsin. Patients can reach her at 4100 52nd St, Kenosha or contact her on 262-658-0902. Active license number of Mrs. Yelena Ivanova is 15104 for Pharmacist in Wisconsin.
Mrs. Yelena Ivanova is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mrs. Yelena Ivanova speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mrs. Yelena Ivanova |
| Specialization: | Pharmacist |
| Gender: | Female |
| Location: | 4100 52nd St, Kenosha,
Wisconsin, 53144-3900 |
| Phone: | 262-658-0902 |
| Fax: | 262-658-0560 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mrs. Yelena Ivanova are as mentioned below.
| NPI Number: | 1265754485 |
| NPI Enumeration Date: | 16 Feb, 2010 |
| NPI Last Update On: | 16 Feb, 2010 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Yelena Ivanova are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 15104 | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Yelena Ivanova such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33014500 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4100 52nd St,
Kenosha, Wisconsin |
| Zip: | 53144-3900 |
| Phone Number: | 262-658-0902 |
| Fax Number: | 262-658-0560 |
Patients can reach Mrs. Yelena Ivanova at
4100 52nd St, Kenosha, Wisconsin or can
call on phone at 262-658-0902.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.