Active NPI
Larry Thomas IV
- Pharmacist
- Keosauqua, IA
National Provider Identifier
1902235229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1486
- Practice address
- 601 1St St
Keosauqua, IA 52565-7701 - Phone
- (319) 293-3128
- Fax
- (319) 293-3853
- NPI assigned
- Nov 7, 2013
- Last updated
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1486 | IA | Primary |
Addresses
Primary practice location
601 1St St
Keosauqua, IA 52565-7701
Mailing address
601 1St St
Keosauqua, IA 52565-7701
Phone (319) 293-3128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1902235229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 1ST ST",
"city": "KEOSAUQUA",
"state": "IA",
"postal_code": "525657701",
"telephone_number": "319-293-3128",
"fax_number": "319-293-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 1ST ST",
"city": "KEOSAUQUA",
"state": "IA",
"postal_code": "525657701",
"telephone_number": "319-293-3128",
"fax_number": "319-293-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LARRY",
"name_suffix": "IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "1486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keosauqua, IA
- Karla Sheetz, PTA
- Carrie Ann Smithart, P.A.-C
- Belinda Lee Striegel, A.R.N.P.
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Van Buren)
- Thomas Pharmacy Inc. (Lee Pharmacy)
- Tim Blair MD PLLC
- Van Buren Community School
- Van Buren Community School District
- Van Buren County Hospital
- Van Buren County Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.