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Sergeant Bluff Pharmacy Inc

Sergeant Bluff Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Sergeant Bluff, IA, holding Type 2 (organization) NPI 1275602518 since 2006. The authorized official on file is Stacey Jackson, Owner.

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NPI 1275602518
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 7129431494
Fax 7129431496
Enumeration date 2006-11-08
Last updated in NPPES 2021-01-28

Authorized official

Name Stacey Jackson
Title Owner
Phone 7129431494

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 1304 IA

Other identifiers

Identifier Type State Issuer
0736173 Medicaid IA
2030418 Other PK
10025475600 Medicaid NE
Copy-ready billing details
Provider: Sergeant Bluff Pharmacy Inc
NPI: 1275602518
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 105 GAUL DR STE A, Sergeant Bluff, IA, 51054

Providers at this address

NPI Name Type Specialty Location
1457470726 Stacey Jackson Individual Pharmacist Sergeant Bluff, IA
1093371668 Lisa Lauters Individual Pharmacist Sergeant Bluff, IA
1275185514 Beverly Schuster Individual Pharmacist Sergeant Bluff, IA

Verify this record

Cross-check NPI 1275602518 against the authoritative CMS record: view Sergeant Bluff Pharmacy Inc on the official NPPES registry .

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 or validate an NPI number.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-01-28.