NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

State University of Iowa

Pharmacy in Riverside, IA · enumerated 2010 · authorized official Jay Jackson, Vice President for Medical Affairs.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174845101

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name State University of Iowa
Other name <Unavail>
Practice address 3056 River Crossing Court, Ste A, Riverside, IA, 52327
Phone (319) 467-8383
Fax (319) 467-8378
Enumeration date Feb 18, 2010
Last updated in NPPES Sep 6, 2018

Taxonomy & classification

333600000X Pharmacy Suppliers · License 18469 (IA) Primary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1370 (IA) Secondary

Authorized official

Name Jay Jackson
Title Vice President for Medical Affairs
Phone (319) 335-8064

Other identifiers

Identifier Type State Issuer
0402616 Medicaid IA -
1623772 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-06. Verify at npiregistry.cms.hhs.gov.
Where is State University of Iowa located?
The practice location on file with NPPES is in Riverside, IA.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-06.