NPIMap

Organization Active NPI

State University of Iowa

Doing business as University of Iowa Hospitals & Clinics/Ambulatory Care Pharmacy

  • Pharmacy
  • Iowa City, IA
National Provider Identifier
1508858127
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
599 Issued in IA
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
University of Iowa Hospitals & Clinics/Ambulatory Care Pharmacy
Practice address
200 Hawkins Dr
Cc101 GH
Iowa City, IA 52242-1009
Phone
(319) 356-2577
Fax
(319) 467-5145
NPI assigned
Aug 19, 2005
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE UNIVERSITY OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe M McKelvey
Title
Sr Dir of Govt Reimbursement
Phone
(319) 467-8549

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 599 IA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

200 Hawkins Dr
Cc101 GH
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Cc101 GH
Iowa City, IA 52242-1009
Phone (319) 356-2577

Other identifiers 2

IdentifierTypeStateIssuer
0260927MedicaidIA
1606447OtherNCPDP

Other names 1

  • University of Iowa Hospitals & Clinics/Ambulatory Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110420000081 IA DME Supplier - Pharmacy 7618884230 Practice locations: Iowa City, IA
O20230420000460 IA Part B Supplier - Mass Immunization (Roster Biller Only) 7618884230 6 other NPIs on this enrollment
Practice locations: Coralville, IA; Des Moines, IA; Iowa City, IA; North Liberty, IA; Riverside, IA

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
David a Krise DDS61 organizations share this tax ID, including this one
Part of
David a Krise DDS

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

200 Hawkins Dr
#101
Iowa City, IA 52242
Phone (319) 356-2577

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Iowa Health Care Medical CenterIowa City, IA, CCN 160058 Hospital Other Jul 1, 1966
University of Iowa Health Care Medical CenterIowa City, IA, CCN 16S058 Hospital Other Jul 1, 1966
University of Iowa Health Care Medical Center DowntownIowa City, IA, CCN 160029 Hospital Other Jan 31, 2024
University of Iowa Health Care Medical Center Downtown Home HealthCoralville, IA, CCN 167181 Home health agency Other Jan 31, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 135

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1508858127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "CC101 GH",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2577",
            "fax_number": "319-467-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "CC101 GH",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2577",
            "fax_number": "319-467-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE UNIVERSITY OF IOWA",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR DIR OF GOVT REIMBURSEMENT",
        "authorized_official_telephone_number": "319-467-8549"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "599",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260927",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1606447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Iowa Hospitals & Clinics/Ambulatory Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Iowa Hospitals & Clinics/Ambulatory Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.