STATE UNIVERSITY OF IOWA (NPI# 1174845101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174845101 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UI HEALTHCARE-RIVER CROSSING PHARMACY |
| Practice Address |
3056 River Crossing Court Ste A Riverside IA 52327 |
| Mailing Address |
3056 River Crossing Court Ste A Riverside IA 52327-4724 |
| Practice Telephone | 3194678383 |
| Practice Fax Number | 3194678378 |
| Mailing Telephone | 3194678383 |
| Mailing Fax Number | 3194678378 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | JAY BROOKS JACKSON (VICE PRESIDENT FOR MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3193358064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1370 | IA | Suppliers |
| Y | 333600000X | Pharmacy | 18469 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0402616 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1623772 | 01 |
| Other Name | Type Code |
|---|---|
| UI Healthcare-River Crossing Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1710485123 | State University of Iowa | Eye Bank | 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 | 2018-01-31 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1194035436 | State University of Iowa | Durable Medical Equipment & Medical Supplies | 119 2nd St, Ste 400, Coralville, IA 52241-2691 | 2010-10-20 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1053503755 | State University of Iowa | Public Health or Welfare | 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 | 2007-08-16 |
| 1225177579 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-05 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION | Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970 |
| Iowa Business Entities | STATE UNIVERSITY OF IOWA FOUNDATION | One West Park Road, Po Box 4550, Iowa City, IA 52244 |
| Street Address |
3056 RIVER CROSSING COURT STE A |
| City | RIVERSIDE |
| State | IA |
| Zip Code | 52327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650956 | David A Bedell | Family Medicine | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2005-09-21 |
| 1073958468 | State University of Iowa | Clinic/Center | 3056 River Crossing Court, Riverside, IA 52327 | 2013-04-30 |
| 1174840474 | University of Iowa Community Medical Services Inc | Eyewear Supplier (Equipment, not the service) | 3056 River Crossing Court, Suite B, Riverside, IA 52327-4727 | 2010-04-26 |
| 1992037865 | State University of Iowa | Nurse Practitioner | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2010-02-03 |
| 1588826952 | Nealy Christine Neukirch | Physician Assistant | 3056 River Crossing Court, Ui Healthcare River Crossing, Riverside, IA 52327-4724 | 2008-06-27 |
| 1205823556 | Natalie L Lanternier | Family Medicine | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508185554 | Jerry P Gibson | Optometrist | 3140 White Oak Cr, Riverside, IA 52327 | 2010-05-28 |
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1720510845 | Suzanne M Pierson | Respiratory Therapist, Certified | 3036 Hidden Meadow Dr, Riverside, IA 52327-9007 | 2017-03-29 |
| 1811191315 | Highland Csd | Local Education Agency (LEA) | 1715 Vine Ave, Riverside, IA 52327-9013 | 2007-06-11 |
| 1821151887 | Tamara Leigh Grimm | Dentist | 380 E Hickory St, P.o. Box M, Riverside, IA 52327-9665 | 2006-12-19 |
| 1427301209 | Tarrell L Portman | Counselor | 361 East First Street, Riverside, IA 52327-9688 | 2012-10-18 |
| 1831267863 | Howard A Cox | Podiatrist | 2835 130th St, Riverside, IA 52327-9699 | 2006-11-30 |
| 1811940927 | Megan Lynn Reed | Chiropractor | 3096 500th St Sw, Riverside, IA 52327-9790 | 2006-05-18 |
| 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 |
|---|---|---|---|---|
| 1730743386 | Mexicare Pharmacy Inc | Pharmacy | 9670 Magnolia Ave Ste 107, Riverside, CA 92503-3684 | 2019-04-30 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1649637315 | Advance Care Services Inc | Pharmacy | 4990 Arlington Ave Ste A, Riverside, CA 92504-2757 | 2016-01-26 |
| 1407266984 | Kaiser Foundation Health Plan Inc | Pharmacy | 14305 Meridian Pkwy Fl 1, Riverside, CA 92518-3034 | 2014-05-05 |
| 1558795385 | Empire Pharmacy | Pharmacy | 1340 Massachusetts Ave, Riverside, CA 92507-2834 | 2013-08-28 |
| 1598809600 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Pkwy Ste 150, Riverside, MO 64150-1512 | 2007-02-20 |
| 1033267992 | Kaiser Foundation Health Plan Inc | Pharmacy | 10800 Magnolia Ave Fl 1, Riverside, CA 92505-3043 | 2007-01-08 |
| 1942358809 | Kaiser Foundation Health Plan Inc | Pharmacy | 10800 Magnolia Ave Fl 2, Riverside, CA 92505-3043 | 2007-01-08 |
| 1447362439 | Vj Pharmacy Inc | Pharmacy | 6942 Brockton Ave, Riverside, CA 92506-3802 | 2006-08-31 |
| 1962428821 | St Johns Pharmacy Corp | Pharmacy | 10181 Hole Ave, Riverside, CA 92503-3441 | 2006-07-14 |
| Find all providers in RIVERSIDE | ||||
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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.