State University Of Iowa
Pharmacy
3056 River Crossing Court, Ste A, Riverside
Iowa, 52327
319-467-8383 319-467-8378
State University Of Iowa is a Pharmacy in Riverside, Iowa. It is located at 3056 River Crossing Court, Ste A, Riverside and it's customer support contact number is 319-467-8383. The authorized person of State University Of Iowa is Jay Brooks Jackson, MD who is Vice President For Medical Affairs of the pharmacy and his contact number is 319-335-8064. Active license number of State University Of Iowa is 18469 for Pharmacy in Iowa. State University Of Iowa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
State University Of Iowa is 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.
Pharmacy Details:
State University Of Iowa 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: | State University Of Iowa |
| Type: | Pharmacy |
| Location: | 3056 River Crossing Court, Ste A, Riverside,
Iowa, 52327 |
| Phone: | 319-467-8383 |
| Fax: | 319-467-8378 |
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: | Jay Brooks Jackson |
| Credentials: | MD |
| Position: | Vice President For Medical Affairs |
| Contact Number: | 319-335-8064 |
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: | 1174845101 |
| NPI Enumeration Date: | 18 Feb, 2010 |
| NPI Last Update On: | 06 Sep, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State University Of Iowa are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 18469 | Iowa | Primary | |
| Clinic Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | 1370 | 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 |
| 0402616 | Medicaid | Iowa | |
| 1623772 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
State University Of Iowa 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 |
| 0244148393 | O20100626000429 | University Of Iowa Community Medical Services | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3056 River Crossing Court, Ste A
Riverside, Iowa |
| Zip: | 52327-4724 |
| Phone Number: | 319-467-8383 |
| Fax Number: | 319-467-8378 |
Patients can reach State University Of Iowa at
3056 River Crossing Court, Ste A, Riverside, Iowa or can
call on customer care at 319-467-8383.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.