Rural Rx Llc
Community/Retail Pharmacy
400 N Elm St, Jefferson
Iowa, 50129
515-386-2164 515-386-8521
Rural Rx Llc is a Community/Retail Pharmacy in Jefferson, Iowa. It is located at 400 N Elm St, Jefferson and it's customer support contact number is 515-386-2164. The authorized person of Rural Rx Llc is Samantha Youngblood, PHARM. D. who is Owner/pic of the pharmacy and his contact number is 515-386-2164. Rural Rx Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Rural Rx Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Rural Rx Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Rural Rx Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 400 N Elm St, Jefferson,
Iowa, 50129 |
| Phone: | 515-386-2164 |
| Fax: | 515-386-8521 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Samantha Youngblood |
| Credentials: | PHARM. D. |
| Position: | Owner/pic |
| Contact Number: | 515-386-2164 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1639173685 |
| NPI Enumeration Date: | 08 Jun, 2005 |
| NPI Last Update On: | 08 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rural Rx Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | Iowa | Primary | |
| Durable Medical Equipment & Medical Supplies | | Iowa | Secondary | |
| Pharmacy | 623 | Iowa | Secondary | |
| Long Term Care Pharmacy | 623 | Iowa | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0216986 | Medicaid | Iowa | |
| 1611652 | Other | Iowa | Ncpdp # |
Medicare Enrollment:
Rural Rx Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2466563150 | O20100930016097 | Pharmacy Professionals Of West Central Iowa Inc | DME SUPPLIER - PHARMACY |
| 2466563150 | O20141111001057 | Pharmacy Professionals Of West Central Iowa Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Rural Rx Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Diabetic Shoes & Inserts: Prefabricated |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Urological Supplies | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 400 N Elm St,
Jefferson, Iowa |
| Zip: | 50129-1420 |
| Phone Number: | 515-386-2164 |
| Fax Number: | 515-386-8521 |
Patients can reach Rural Rx Llc at
400 N Elm St, Jefferson, Iowa or can
call on customer care at 515-386-2164.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.