Ivan Valodzka · Pharmacist

24 Mango Ln, Rochester, NY 14606-4329

Overview

Ivan Valodzka is a Pharmacist practicing in Rochester, New York. The National Provider Identifier (NPI) is #1124907605, which was assigned on August 29, 2025, and the registration record was last updated on August 29, 2025. The practitioner's main practice location is at 2100 Monroe Ave, Rochester, NY 14618-2408; the contact telephone number is 5854613995. The primary taxonomy of Ivan Valodzka is Pharmacist (183500000X). Ivan Valodzka is licensed to practice in the state of New York (#073028).

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.

Provider Information

NPI 1124907605
Entity Type Individual
Provider Name IVAN VALODZKA
Gender Male
Practice Address 2100 Monroe Ave
Rochester
NY 14618-2408
Practice Telephone 5854613995
Mailing Address 24 Mango Ln
Rochester
NY 14606-4329
Mailing Telephone 5854901703
Certification Date 2025-08-29
Enumeration Date 2025-08-29
Last Update Date 2025-08-29
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y183500000XPharmacist073028NY

Taxonomy Information

Primary Taxonomy

Code 183500000X
Taxonomy Pharmacist
Classification Pharmacist
Grouping Pharmacy Service Providers
Definition: 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.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

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Location Information

Street Address 24 MANGO LN
City ROCHESTER
State NY
Zip Code 14606-4329
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Caroline Danielle Cota-Buckhout 100 Pinewild Dr Ste 2a, Rochester, NY 14606-4200Clinical Social Worker2019-06-18
Isabella Cowan-Viele 275 Waldorf Ave, Rochester, NY 14606-3749Registered Nurse2025-10-13
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Riley Lattuca 10 S Pointe Lndg Ste 250, Rochester, NY 14606-3483Ambulatory Care Pharmacist2022-06-21
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Steven Frederick Hickey 1260 Lyell Ave, Rochester, NY 14606-2040Contact Lens Technician/Technologist2006-05-03
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Thao Nguyen 100 Pinewild Dr, Rochester, NY 14606-4200Clinical Psychologist2023-07-21
Drake Thomas 40 Nisa Ln, Rochester, NY 14606-4051Community Health Worker2025-07-25
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.