Ryan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

705 Issued in IA

Legal business name

RYAN PHARMACY INC

Doing business as

Ryan Pharmacy

Practice address

1600 1St St E
Independence, IA 50644-3155

Phone

(319) 334-7171

Fax

(319) 334-7074

NPI assigned

Jun 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerry Ryan

Title

Owner

Phone

(319) 334-7171

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RYAN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1609811892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-334-7171",
            "fax_number": "319-334-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-334-7171",
            "fax_number": "319-334-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-334-7171"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236885",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara J Roberson, PAC
• Kevin Francis Roscoe, P.A.-C.
• Molly Anne Rosteck, MA, CFY/SLP
• Michelle Rottinghaus, M.A., CCC-SLP
• Kasey Marie Ruff, OTR, L
• Ikami A B Sasa, ARNP
• Molly Ellen Saucer, ARNP
• Kelly Scheffert, ARNP
• Kerianne Schmidt, DPT
• William Joseph Schmitt, DO

• Community/Retail Pharmacy in Independence, IA
• Providers in Independence, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.