PCA IOWA RX, LLC
NPI 1104385806
Pharmacy - Long Term Care Pharmacy in Urbandale, IA

Active since March 13, 2019
4307 NW URBANDALE DR, URBANDALE, IA 50322(866) 579-3181(502) 996-8148 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, May 5, 2022, Mar 13, 2019 (3 updates tracked since 2019).

About Pca Iowa Rx, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PCA IOWA RX, LLC (NPI 1104385806) is a healthcare organization registered as a long term care pharmacy in Urbandale, Iowa and active in the NPI registry since March 2019. The organization lists Cristina Pietrowski, Evp, Chief Legal Officer & Secretar, as its authorized official.

NPPES Registry Identity

NPI1104385806
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePCA IOWA RX, LLC
Location Address4307 NW URBANDALE DRUrbandale, IA 50322-7910
Mailing Address303 N Hurstbourne Pkwy Ste 200Louisville, KY 40222-5158
Fax(502) 996-8148
Organization SubpartNo
Authorized OfficialCristina PietrowskiEvp, Chief Legal Officer & Secretar · (502) 412-5847
Enumeration DateMarch 13, 2019
Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1104385806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
4307 NW URBANDALE DR, Urbandale, IA 50322

Accepted Insurance

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
545 services545 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
503 services503 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
75 services75 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
42 services42 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Pca Iowa Rx LLC carries, from the Medicare DMEPOS supplier directory.

Pca Iowa Rx LLC

DMEPOS supplier · Urbandale, IA

Accepts Medicare assignment

Pca Iowa Rx LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413757
Medicare Participant SinceJune 1, 2020
Supplier Location4307 NW Urbandale DrUrbandale, IA 50322
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4307 NW URBANDALE DR
URBANDALE, IA 50322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pca Iowa Rx, LLC's NPI number?

The NPI number for Pca Iowa Rx, LLC is 1104385806. It was assigned to this organization in the NPPES registry on March 13, 2019.

Where is Pca Iowa Rx, LLC located?

Pca Iowa Rx, LLC is located at 4307 NW Urbandale Dr, Urbandale, IA 50322. The listed phone number is (866) 579-3181.

What is Pca Iowa Rx, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Pca Iowa Rx, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pca Iowa Rx LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pca Iowa Rx, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Pca Iowa Rx, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pca Iowa Rx, LLC was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.