IOWA CVS PHARMACY LLC (NPI# 1194747832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194747832 |
| Entity Type | Organization |
| Organization Name | IOWA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16914 |
| Practice Address |
11148 Plum Dr Urbandale IA 50322-6328 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5152706884 |
| Practice Fax Number | 5152706884 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1161 | IA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2030065 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16914 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366811291 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2420 Lincoln Way Ste 104, Ames, IA 50014-7217 | 2015-09-22 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1962828897 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2303 Merle Hay Rd, Des Moines, IA 50310-1140 | 2014-03-17 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1306287669 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3151 Se 14th St, Des Moines, IA 50320-1317 | 2013-07-15 |
| 1043556988 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 104 E. 1st St, Ankeny, IA 50021-1703 | 2012-12-21 |
| 1891043717 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3495 7th Ave, Marion, IA 52302-3735 | 2012-08-27 |
| 1063790178 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3419 16th Ave Sw, Cedar Rapids, IA 52404-2326 | 2011-07-25 |
| 1710281670 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1441 Coral Ridge Ave, Coralville, IA 52241-2801 | 2011-01-06 |
| 1578798690 | Iowa Cvs Pharmacy LLC | Pharmacy | 214 Viking Plaza Dr, Cedar Falls, IA 50613-6936 | 2009-05-19 |
| Street Address |
11148 PLUM DR |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013385822 | Jonathon Relph | Pharmacist | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2015-09-10 |
| 1750766622 | Leah Dicket | Pharmacist | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2015-07-21 |
| 1801286406 | Ami Bradwell | Pharmacy Technician | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2015-02-03 |
| 1750771440 | Traci Lindsey | Pharmacy Technician | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2015-02-02 |
| 1598155293 | Susan Geller | Pharmacy Technician | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2015-02-02 |
| 1528458221 | Brittney Frees | Pharmacy Technician | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2015-02-02 |
| 1669802286 | Melissa Baker | Pharmacist | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2013-11-18 |
| 1730515149 | Arica Ann Peters | Pharmacist | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2013-09-17 |
| 1437411717 | Danelle Marie Rollinger | Pharmacist | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2012-06-12 |
| 1538443171 | Elly J Hein | Pharmacist | 11148 Plum Dr, Urbandale, IA 50322-6328 | 2011-09-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1750830238 | Iowa Prescription Drug Corporation | Pharmacy | 11100 Aurora Ave Bldg 13, Urbandale, IA 50322-7903 | 2016-09-26 |
| 1215337506 | Medicap Pharmacy-urbandale-forbes Pharmacy Inc | Pharmacy | 8170 Douglas Ave, Urbandale, IA 50322-2411 | 2014-08-25 |
| 1316002744 | Medicap Pharmacy-urbandale-forbes Pharmacy Inc | Pharmacy | 8170 Douglas Ave, Urbandale, IA 50322-2411 | 2006-12-26 |
| 1417988478 | K Mart Corp | Pharmacy | 7501 Hickman Rd, Urbandale, IA 50322-4603 | 2006-07-06 |
| 1194712539 | Econo-med of Iowa, LLC | Pharmacy | 11302 Aurora Ave, Urbandale, IA 50322-7907 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 1033662119 | Health Solutions | Pharmacy | 151 5th Ave Se Ste 500, Cedar Rapids, IA 52401-1863 | 2016-07-26 |
| 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.