State University of Iowa
NPI 1811246473ActiveOrganization· Pharmacy· Coralville, IA
Pharmacy in Coralville, Iowa, registered in NPPES in August 2012. The authorized official on file is Joe M. McKelvey, Sr Dir Of Govt Reimbursement. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1811246473 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2012 |
| Last updated in NPPES | Sep 14, 2026 |
| Certified by provider | Sep 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Clinic Pharmacy | 3336C0002X | 1419 | IA |
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) |
|---|
Other Pharmacy providers in Coralville
- 1710281670
- 1912365412
- 1275722530
- 1417962739