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COON RAPIDS PHARMACY
NPI 1336105634
Pharmacy - Community/Retail Pharmacy in Coon Rapids, IA

Active since April 25, 2006CLIA 16D2290019 · Waiver
515 MAIN STREET, COON RAPIDS, IA 50058(712) 999-6337(712) 999-7979 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, Feb 20, 2020 (2 updates tracked since 2020).

About Coon Rapids Pharmacy NPPES

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

COON RAPIDS PHARMACY (NPI 1336105634) is a healthcare organization registered as a community/retail pharmacy in Coon Rapids, Iowa and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Samantha Youngblood, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1336105634
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRURAL RX LLC
Location Address515 MAIN STREETCoon Rapids, IA 50058
Mailing Address400 N Elm StJefferson, IA 50129-1420 · (575) 386-2164 · Fax (515) 386-8521
Phone(712) 999-6337
Fax(712) 999-7979
Organization SubpartNo
Authorized OfficialSamantha YoungbloodOwner/pic · (515) 386-2164
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1336105634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
515 MAIN STREET, Coon Rapids, IA 50058
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Other Names 1

Doing Business AsCoon Rapids Pharmacy

Other Identifiers 2

Other1613048IA · Ncpdp
Medicaid0190280IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 16D2290019

Rural Rx, LLC Dba Greene County Pharmacy · Jefferson, IA
Active · expires Sep 18, 2027
CLIA Number16D2290019
Laboratory TypePharmacy
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorSamantha J. Youngblood
Laboratory Phone(641) 231-1488
Laboratory LocationRural Rx, LLC Dba Greene County Pharmacy400 N Elm St, Jefferson, IA 50129
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Rural Rx LLC's NPI number?

The NPI number for Rural Rx LLC is 1336105634. It was assigned to this organization in the NPPES registry on April 25, 2006. The provider is doing business as Coon Rapids Pharmacy.

Where is Rural Rx LLC located?

Rural Rx LLC is located at 515 Main Street, Coon Rapids, IA 50058. The listed phone number is (712) 999-6337.

What is Rural Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Rural Rx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2290019) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rural 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 50 other insurers list Rural 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 Rural Rx LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.