Medicap Pharmacy

LBN: Rural Rx Llc
Medicap Pharmacy is an health care organization with primary practice located at 400 N Elm St , Jefferson IA 50129. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rural Rx Llc can be contacted via phone (515) 386-2164, or through Youngblood, Samantha via phone (515) 386-2164.

Contact Information

Primary practice address
400 N Elm St Jefferson IA 50129
Phone: (515) 386-2164
Fax: (515) 386-8521
Website:
Map and Directions
Authorized official contact:
Name: Youngblood, Samantha PHARM. D.
Phone: (515) 386-2164

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Iowa
Suppliers / Pharmacy 333600000X 623 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X Iowa
Suppliers / Long Term Care Pharmacy 3336L0003X 623 Iowa

Profile Details

NPI number 1639173685
LBN Legal business name Rural Rx Llc
DBA Doing business as Medicap Pharmacy
Authorized official Youngblood, Samantha PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Dec 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639173685 NPPES
Iowa Other 1611652 NCPDP #
Iowa MEDICAID 0216986 NCPDP #

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