State University of Iowa
NPI 1508858127ActiveOrganization· Pharmacy· Iowa City, IA
Pharmacy in Iowa City, Iowa, registered in NPPES in August 2005, part of State University of Iowa. The authorized official on file is Joe M. McKelvey, Sr Dir Of Govt Reimbursement. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1508858127 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | State University of Iowa |
| NPI issued | Aug 19, 2005 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Feb 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 599 | IA |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IA); Part B Supplier - Mass Immunization (Roster Biller Only) (IA) |
|---|
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