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Sergeant Bluff Pharmacy Inc

Community/Retail Pharmacy in Sergeant Bluff, IA · enumerated 2006 · authorized official Stacey Jackson, Owner.

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

National Provider Identifier

1275602518

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Registry record

Entity type Organization (Type 2)
Legal business name Sergeant Bluff Pharmacy Inc
Other name <Unavail>
Practice address 105 Gaul Dr Ste A, Sergeant Bluff, IA, 51054
Phone (712) 943-1494
Fax (712) 943-1496
Enumeration date Nov 8, 2006
Last updated in NPPES Jan 28, 2021

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1304 (IA) Primary

Authorized official

Name Stacey Jackson
Title Owner
Phone (712) 943-1494

Other identifiers

Identifier Type State Issuer
0736173 Medicaid IA -
2030418 Other - PK
10025475600 Medicaid NE -

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.

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Frequently asked questions

Where is Sergeant Bluff Pharmacy Inc located?
The practice location on file with NPPES is in Sergeant Bluff, IA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-01-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-28.