RURAL RX LLC
NPI 1699508739
Pharmacy - Long Term Care Pharmacy in Jefferson, IA

NPI Status: Active since August 23, 2024

Contact Information

400 N ELM ST
JEFFERSON, IA
ZIP 50129
Phone: (515) 386-2164
Fax: (515) 386-8521

NPI Profile Information
Primary Taxonomy
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacy
Long Term Care Pharmacy
Medicare Supplier
Accepts Medicare Approved Payment

About RURAL RX LLC

This page provides the complete NPI Profile along with additional information for Rural Rx Llc, a provider established in Jefferson, Iowa operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1699508739 assigned on August 2024. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kyle Youngblood (Owner)

NPI: 1699508739
Provider Name: RURAL RX LLC
Entity Type: Organization
Location Address: 400 N ELM ST JEFFERSON, IA 50129
Location Phone: (515) 386-2164
Location Fax: (515) 386-8521
Mailing Address: 400 N ELM ST JEFFERSON, IA 50129
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-23-2024
Last Update Date: 08-23-2024
Code Navigator

Rural Rx Llc is a medicare supplier with PTAN 23282719 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Nebulizer Equipment and/or Supplies.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pharmacy Long Term Care Pharmacy
Taxonomy Code: 3336L0003X
Type: Suppliers
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: KYLE YOUNGBLOOD
Authorized Official Title: OWNER
Authorized Official Phone: (515) 386-2164

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 23282719
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

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
Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	9	9	5	0	8	7	3	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	18	9	10	0	16	7	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 0 + 0 + 1 + 6 + 7 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1699508739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.