State University Of Iowa, NPI 1174845101
Pharmacy in Riverside, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1174845101
NPI Entity Type Organization
Provider Name State University Of Iowa
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3056 River Crossing Court, Ste A, Riverside, IA, US
Provider Mailing Address 3056 River Crossing Court, Ste A, Riverside, IA, US, 523274724
Is Sole Proprietor? No
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Organization Official

Official Name MD Jay Brooks Jackson
Official Position VICE PRESIDENT FOR MEDICAL AFFAIRS
Phone 319-335-8064

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 18469
License State IA
Description 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.

Other Organization Name

UI Healthcare-River Crossing Pharmacy
Doing Business As

Business Address

State University Of Iowa
3056 River Crossing Court
Ste A

Riverside, IA, US

Phone: 319-467-8383
Fax: 319-467-8378

Mailing Address

State University Of Iowa
3056 River Crossing Court
Ste A
Riverside, IA, US
ZIP 523274724
Phone: 319-467-8383
Fax: 319-467-8378

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0002X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

1370 IA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0402616 IA MEDICAID 05
1623772 NCPDP PROVIDER IDENTIFICATION NUMBER 01

Other Providers in IA, US

NPI Name Taxonomy Address

1023779097

TLMFT Stacy Lynn Grooms

Individual

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555 Cameron Way Ste 2

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PT, DPT Joshua Dale Mitchell

Individual

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1578058962

DR. DPM Dallen Pope

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Foot & Ankle Surgery Podiatrist

3421 W 9th St

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1639894074

DR. PSYD Sheila Mccrea

Individual

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240 N Bluff Blvd Ste 206

Clinton, IA

1942596176

M.D. Derek Lincoln Breder

Individual

Orthopaedic Surgery Physician

2751 Northgate Dr

Iowa City, IA

1487151254

Bayli Triggs

Individual

Counselor

2912 9th Ave

Council Bluffs, IA

1154076040

Stacy Jo Ann Watts

Individual

Family Nurse Practitioner

1400 Senate Ave Ste 108

Red Oak, IA

1538429246

DR. M.D. Austin Jedidiah Ramme

Individual

Orthopaedic Surgery Physician

2751 Northgate Dr

Iowa City, IA

1477076628

Forefront Dermatology, S.c.

Organization

Dermatology Physician

12327 Stratford Dr

Clive, IA

1093702409

PA-C Lisa Wells

Individual

Physician Assistant

666 Walnut St Ste 1610

Des Moines, IA

1811307903

LISW Travis Underwood

Individual

Clinical Social Worker

226 West Main St Ste 201

Ottumwa, IA

1891704219

LISW Eva Ford

Individual

Clinical Social Worker

605 East Winfield Ave

Mount Pleasant, IA

1023625142

DR. MD Moon Ley Tung

Individual

Clinical Genetics (M.D.) Physician

200 Hawkins Dr

Iowa City, IA

1699195818

DR. DO Maggie Diane Seblani

Individual

Pediatric Hematology & Oncology Physician

200 Hawkins Dr

Iowa City, IA

1114534237

DR. MD Bharatendu Chandra

Individual

Clinical Molecular Genetics Physician

200 Hawkins Dr

Iowa City, IA

1619521465

PHD Kimberly Chantelle Diah

Individual

Clinical Neuropsychologist

200 Hawkins Dr

Iowa City, IA

1922332808

Lewis Township Fire And Rescue Department

Organization

Land Ambulance

19770 Cypress Ave

Council Bluffs, IA

1609255991

M.D. Nicole Margo Grogan Fleege

Individual

Hematology & Oncology Physician

200 Hawkins Dr

Department Of Internal Medicine

Iowa City, IA

1801511282

Anna Marietta Patch

Individual

Clinical Social Worker

250 Laurel St

Des Moines, IA

1801829635

DR. M.D. Jorge H Perez-cardona

Individual

Hematology & Oncology Physician

1410 N 4th St

Clinton, IA

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