Active NPI
Rural RX LLC
- Long Term Care Pharmacy
- Jefferson, IA
National Provider Identifier
1699508739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- RURAL RX LLC
- Practice address
- 400 N Elm St
Jefferson, IA 50129-1420 - Phone
- (515) 386-2164
- Fax
- (515) 386-8521
- NPI assigned
- Aug 23, 2024
- Last updated
- Aug 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Youngblood
- Title
- Owner
- Phone
- (515) 386-2164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
400 N Elm St
Jefferson, IA 50129-1420
Mailing address
400 N Elm St
Jefferson, IA 50129-1420
National Provider Directory
National Provider Directory- Tax ID family
- Anglemyer Pharmacies LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
400 N Elm St
Jefferson, IA 50129
Phone (515) 386-2164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1699508739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N ELM ST",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "501291420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N ELM ST",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "501291420",
"telephone_number": "515-386-2164",
"fax_number": "515-386-8521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "YOUNGBLOOD",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-386-2164"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, IA
- Regency Park Nursing and Rehabilitation Center of Jefferon
- Leah Renwanz, DC
- Abby Michelle Richards, CRNA
- Ashley Nicole Riphagen, TEMP LMHC, CRC, MA
- Rural RX LLC (Greene County Pharmacy)
- Ashley A. Schwander, D.C.
- Chad M. Schwander, D.C.
- Brenda Seaman
- Seven Hills Emergency Group, PC
- Kelly Sinclair, IADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.