RYKA INCORPORATED (NPI# 1427332295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427332295 |
| Entity Type | Organization |
| Organization Name | RYKA INCORPORATED |
| Other Organization Name | CUSTOM MEDS BY MEYER PHARMACY |
| Practice Address |
112 10th St Sw Suite A Waverly IA 50677-2924 |
| Mailing Address |
Po Box 785 Waverly IA 50677-0785 |
| Practice Telephone | 3193523120 |
| Practice Fax Number | 3193525720 |
| Mailing Telephone | 3193523120 |
| Mailing Fax Number | 3193525720 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | RYAN FRERICHS (OWNER) |
| Authorized Official Telephone | 3193523120 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | Y |
| Parent Organization Name | RYKA INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
1398 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | STATE CONTROLLED SUBSTANCE LICENSE | 1107902 | 01 |
| IA | IOWA PHARMACY LICENSE | 1398 | 01 |
| Other Name | Type Code |
|---|---|
| CUSTOM MEDS BY MEYER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922381086 | Ryka Incorporated | Pharmacy | 112 10th St Sw, Suite B, Waverly, IA 50677-2924 | 2011-09-26 |
| 1194876581 | Ryka Incorporated | Durable Medical Equipment & Medical Supplies | 110 10th St Sw, Waverly, IA 50677-2924 | 2007-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | RYKA INCORPORATED | 110 10th St Sw, Waverly, IA 50677 |
| Street Address |
112 10TH ST SW SUITE A |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922381086 | Ryka Incorporated | Pharmacy | 112 10th St Sw, Suite B, Waverly, IA 50677-2924 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497195895 | Relevant Compounding LLC | Pharmacy | 9329 State Route 220, Waverly, OH 45690-9012 | 2013-06-28 |
| 1629525704 | U-save Pharmacy Inc | Pharmacy | 13851 Guildford St Ste D, Waverly, NE 68462-1453 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144128 | Grx Holdings, LLC | Pharmacy | 12871 University Ave Ste 130, Clive, IA 50325-8256 | 2012-04-24 |
| 1194855569 | Central Iowa Compounding | Pharmacy | 3290 100th St, Urbandale, IA 50322-3879 | 2007-03-06 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1912068644 | Far Bil Inc | Pharmacy | 1727 S B Ave, Nevada, IA 50201-2804 | 2006-12-13 |
| 1114002284 | Professional Compounding Center of Iowa, Inc. | Pharmacy | 2104 Kimball Ave., Suite A, Waterloo, IA 50702-5037 | 2006-10-26 |
| 1124000328 | Elk Horn Pharmacy Inc | Pharmacy | 4022 Main St, Elk Horn, IA 51531-2102 | 2005-11-15 |
| 1457902314 | Wayne County Hospital | Pharmacy | 510 E Jefferson St Ste A, Corydon, IA 50060-1812 | 2019-09-23 |
| 1932599404 | Pella Regional Health Center | Pharmacy | 802 Washington St, Pella, IA 50219-1525 | 2015-02-04 |
| 1639588262 | Siouxland Compounding Pharmacy, LLC | Pharmacy | 4501 Southern Hills Dr, Suite 3, Sioux City, IA 51106-4769 | 2014-08-07 |
| 1235323288 | William Burke Ltd | Pharmacy | 129 W Locust St, Davenport, IA 52803 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.