Pca Iowa Rx, LLC
NPI 1104385806 · Long Term Care Pharmacy · Urbandale, IA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pca Iowa Rx, LLC is a Long Term Care Pharmacy organization in Urbandale, IA (NPI 1104385806).
Provider details
- NPI number
- 1104385806
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Cristina Pietrowski, Evp, Chief Legal Officer & Secretar(502) 412-5847
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,131 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 545 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 511 | $40 |
| Administration of Pneumococcal VaccineG0009 | 75 | $30 |
Typical Medicare-allowed amounts for these services range $30–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-13
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Pca Iowa Rx, LLC's NPI number?
- Pca Iowa Rx, LLC's National Provider Identifier (NPI) is 1104385806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pca Iowa Rx, LLC?
- Pca Iowa Rx, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Pca Iowa Rx, LLC located?
- Pca Iowa Rx, LLC's practice location on file with NPPES is 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910.
- What is Pca Iowa Rx, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pca Iowa Rx, LLC is (866) 579-3181.
- Does Pca Iowa Rx, LLC accept Medicare?
- Pca Iowa Rx, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pca Iowa Rx, LLC?
- The authorized official listed on Pca Iowa Rx, LLC's NPPES record is Cristina Pietrowski, Evp, Chief Legal Officer & Secretar. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pca Iowa Rx, LLC's NPI active?
- Yes — Pca Iowa Rx, LLC's NPI (1104385806) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.