Sergeant Bluff Pharmacy Inc
Community/Retail Pharmacy
105 Gaul Dr Ste A, Sergeant Bluff
Iowa, 51054-8963
712-943-1494 712-943-1496
Sergeant Bluff Pharmacy Inc is a Community/Retail Pharmacy in Sergeant Bluff, Iowa. It is located at 105 Gaul Dr Ste A, Sergeant Bluff and it's customer support contact number is 712-943-1494. The authorized person of Sergeant Bluff Pharmacy Inc is Stacey A Jackson who is Owner of the pharmacy and his contact number is 712-943-1494. Active license number of Sergeant Bluff Pharmacy Inc is 1304 for Community/Retail Pharmacy in Iowa. Sergeant Bluff Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sergeant Bluff Pharmacy Inc 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:
Sergeant Bluff Pharmacy Inc 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: | Sergeant Bluff Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 105 Gaul Dr Ste A, Sergeant Bluff,
Iowa, 51054-8963 |
| Phone: | 712-943-1494 |
| Fax: | 712-943-1496 |
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: | Stacey A Jackson |
| Position: | Owner |
| Contact Number: | 712-943-1494 |
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: | 1275602518 |
| NPI Enumeration Date: | 08 Nov, 2006 |
| NPI Last Update On: | 28 Jan, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sergeant Bluff Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 1304 | Iowa | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | 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 |
| 0736173 | Medicaid | Iowa | |
| 2030418 | Other | | Pk |
| 10025475600 | Medicaid | Nebraska | |
Medicare Enrollment:
Sergeant Bluff Pharmacy Inc 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 |
| 5395832760 | O20071107000815 | Sergeant Bluff Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5395832760 | O20100930037411 | Sergeant Bluff Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Sergeant Bluff Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & 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: | 105 Gaul Dr Ste A,
Sergeant Bluff, Iowa |
| Zip: | 51054-8963 |
| Phone Number: | 712-943-1494 |
| Fax Number: | 712-943-1496 |
Patients can reach Sergeant Bluff Pharmacy Inc at
105 Gaul Dr Ste A, Sergeant Bluff, Iowa or can
call on customer care at 712-943-1494.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.