UI HEALTHCARE-RIVER CROSSING PHARMACY
NPI 1174845101
Pharmacy in Riverside, IA

Active since February 18, 2010CLIA 16D2004157 · Waiver
3056 RIVER CROSSING COURT, STE A, RIVERSIDE, IA 52327(319) 467-8383(319) 467-8378 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ui Healthcare-river Crossing Pharmacy NPPES

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

UI HEALTHCARE-RIVER CROSSING PHARMACY (NPI 1174845101) is a healthcare organization registered as a pharmacy in Riverside, Iowa and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Jay Brooks Jackson, Vice President For Medical Affairs, as its authorized official.

NPPES Registry Identity

NPI1174845101
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSTATE UNIVERSITY OF IOWA
Location Address3056 RIVER CROSSING COURT, STE ARiverside, IA 52327
Mailing Address3056 River Crossing Court, Ste ARiverside, IA 52327-4724 · (319) 467-8383 · Fax (319) 467-8378
Fax(319) 467-8378
Organization SubpartNo
Authorized OfficialJay Brooks JacksonVice President For Medical Affairs · (319) 335-8064
Enumeration DateFebruary 18, 2010
Last NPPES UpdateSeptember 6, 2018
NPI 1174845101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IA · 18469
Definition

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.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 1370 (IA)
3056 RIVER CROSSING COURT, Riverside, IA 52327

Other Names 1

Doing Business AsUi Healthcare-river Crossing Pharmacy

Other Identifiers 2

Medicaid0402616IA
Other1623772Ncpdp Provider Identification Number

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2004157

Ui Healthcare Center- River Crossing · Riverside, IA
Active · expires Aug 15, 2026
CLIA Number16D2004157
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorMatthew Krasowski
Laboratory Phone(319) 467-8353
Laboratory LocationUi Healthcare Center- River Crossing3056 River Crossing Court, Riverside, IA 52327
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20680379
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 5

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

Family Medicine
3056 RIVER CROSSING COURT
RIVERSIDE, IA 52327
Family Medicine
3056 RIVER CROSSING COURT
RIVERSIDE, IA 52327
Eyewear Supplier
3056 RIVER CROSSING COURT, SUITE B
RIVERSIDE, IA 52327
Physician Assistant
3056 RIVER CROSSING COURT, UI HEALTHCARE RIVER CROSSING
RIVERSIDE, IA 52327
Family Medicine
3056 RIVER CROSSING COURT
RIVERSIDE, IA 52327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174845101, enumerated as an "organization" on February 18, 2010.

The provider is located at 3056 RIVER CROSSING COURT STE A RIVERSIDE, IA 52327 and the phone number is (319) 467-8383.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.