Don Peterson Drug Co
NPI 1831194703ActiveOrganization· Pharmacy· Cassville, MO
Pharmacy in Cassville, Missouri, registered in NPPES in June 2005. The authorized official on file is Cong Dang, RPH, Owner. Medicare paid $25,699 for services to 112 patients in 2024.
Overview
| NPI | 1831194703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2005 |
| Last updated in NPPES | Aug 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 200300001338 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 348 across 10 procedure codes |
| Paid by Medicare | $25,699 |