PCA IOWA RX, LLC


Address: 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910
Phone: 8665793181

PCA IOWA RX, LLC (NPI# 1104385806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104385806
Entity Type Organization
Organization Name PCA IOWA RX, LLC
Practice Address 4307 Nw Urbandale Dr
Urbandale
IA 50322-7910
Mailing Address 2701 Chestnut Station Ct
Louisville
KY 40299-6395
Practice Telephone 8665793181
Practice Fax Number 5029968148
Mailing Telephone 5022662558
Mailing Fax Number 5029968148
Enumeration Date 2019-03-13
Last Update Date 2019-03-13
Authorized Official Name ERIK SPOELKER (DIRECTOR OF REIMBURSEMENT)
Authorized Official Telephone 5022662558
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities PCA IOWA RX, LLC 303 N Hurstbourne Parkway, Ste 200, Louisville, KY 40222

Office Location

Street Address 4307 NW URBANDALE DR
City URBANDALE
State IA
Zip Code 50322-7910

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598278434 Mary Melissa Buchanan Hospice Care, Community Based 6101 Goodman Dr, Urbandale, IA 50322 2017-11-14
1932629110 Kelsey Coaldrake Speech-Language Pathologist 2570 106th St Ste E, Urbandale, IA 50322 2017-06-20
1861940207 Jessalynn Bradley Home Health Aide 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 2016-09-14
1083086862 Iowa Dermatology Clinic, Plc Dermatology 3729 86th St, Urbandale, IA 50322 2015-10-20
1598134686 Iowa Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 14201 Hickman Rd., Urbandale, IA 50322 2015-09-18
1114303484 Monique I Elgersma Marriage & Family Therapist 3829 71st St Ste A, Urbandale, IA 50322 2015-08-10
1821437922 Maggie Lynn Leavens Physical Therapy Assistant 4614 84th Street, Urbandale, IA 50322 2013-06-21
1225378581 Nicholas David Burton Lantz Physical Therapy Assistant 4614 Nw 84th Street, Urbandale, IA 50322 2013-02-25
1750645826 Joseph Horn Thompson Pharmacist 9616 Quail Ridge, Urbandale, IA 50322 2012-07-03
1437481827 Community Support Advocates, LLC Social Worker 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 2010-02-10
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992348882 Pharmscript of Ia LLC Pharmacy 2601 104th St Ste 300, Urbandale, IA 50322-3954 2019-10-23
1770695884 Ncs Healthcare of Iowa, LLC Pharmacy 4621 121st St, Urbandale, IA 50323-2311 2006-08-31
1285653923 Hy Vee Inc Pharmacy 3994 Nw Urbandale Dr, Urbandale, IA 50322-7922 2006-07-19
1306489703 Pharmscript of Ia LLC Pharmacy 2601 104th St Ste 300, Urbandale, IA 50322-3954 2019-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144864950 Pm Acquisition, LLC Pharmacy 4927 Maple Dr Ste 200, Pleasant Hill, IA 50327-2030 2019-11-05
1063070985 Pm Acquisition, LLC Pharmacy 107 W Main St Ste B, Ottumwa, IA 52501-2542 2019-06-05
1720543812 Greenfield Pharmacy LLC Pharmacy 202 Se Kent St Ste 1, Greenfield, IA 50849-1411 2019-02-04
1508339425 Pm Acquisition, LLC Pharmacy 2039 Crossroads Blvd Ste B, Waterloo, IA 50702-4403 2019-01-03
1427533165 Consultant Pharmacists Inc Pharmacy 714 Illinois St, Sidney, IA 51652-8027 2018-09-28
1912486226 Gbank Health LLC Pharmacy 617 8th Ave Se Ste C, Cedar Rapids, IA 52401-2117 2018-08-08
1811475064 Gbank Health LLC Pharmacy 876 Tanglefoot Ln, Bettendorf, IA 52722-1605 2018-07-31
1588175103 L & M Pharmacy Care Pharmacy 2526 Glenn Ave, Sioux City, IA 51106-2768 2017-10-23
1609393917 Lewis Family Drug, LLC Pharmacy 528 S 3rd St, Moville, IA 51039 2017-08-28
1851773501 Community Pharmacy Services Inc Pharmacy 5217 Grand Ave, Davenport, IA 52807-1014 2015-06-18
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Competitor

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City URBANDALE
Zip Code 50322

Improve Information

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Dataset Information

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.

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