THOMAS C RYAN NPI 1992784870

NPI Information

  • NPI: 1992784870
  • Provider Name: THOMAS C RYAN
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PETERSON PHARMACY
  • Address: 104 E WASHINGTON ST
    MARENGO, IA
    ZIP 52301
  • Phone: (319) 642-3312

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NPI Details

THOMAS C RYAN is a pharmacy in Marengo, IA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. THOMAS C RYAN NPI is 1992784870. The provider is registered as an organization entity type.
The provider Is Doing Business As Peterson Pharmacy.

The provider's business location address is:

104 E WASHINGTON ST
MARENGO, IA
ZIP 52301-545
Phone: (319) 642-3312
Fax: (319) 741-6011

The provider's authorized official is Thomas Ryan .
The authorized official title is Owner/pic and has the following contact phone number (319) 642-3312.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 12/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy36IOWAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11992784870MEDICAIDIOWA
22028364OTHERPK
30323230001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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