STATE UNIVERSITY OF IOWA – NPI #1811246473
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Health Care Provider Taxonomy Code for Pharmacy

STATE UNIVERSITY OF IOWA is a pharmacy located in CORALVILLE, IA. NPPES has assigned the NPI number 1811246473 to STATE UNIVERSITY OF IOWA on August 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was last updated on Feb 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STATE UNIVERSITY OF IOWA below.

NPI Profile for
STATE UNIVERSITY OF IOWA

NPI Number
1811246473
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE UNIVERSITY OF IOWA
Primary location
105 E 9TH STREET
SUITE A
CORALVILLE, IA 52241
Phone: (319) 467-2050 Fax: (319) 467-2070
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOE MCKELVEY
SR DIR OF GOVT REIMBURSEMENT
Phone: (319) 467-8549
Updated
Certification Date
Feb 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STATE UNIVERSITY OF IOWA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCONTROLLED SUBSTANCE REGISTRATIONIA1107919
otherSTATE PHARMACY LICENSEIA1419
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)		 IA 1419

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.