Reliant Care Pharmacy Services LLC
NPI 1487977195 · Long Term Care Pharmacy · Coralville, IA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reliant Care Pharmacy Services LLC is a Long Term Care Pharmacy organization in Coralville, IA (NPI 1487977195).
Provider details
- NPI number
- 1487977195
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Devin Rujawitz, Billing Manager(314) 597-1809
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 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
241 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) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 214 | $40 |
| Administration of Pneumococcal VaccineG0009 | 27 | $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
Other names (DBA / former)
- Doing business as
- Trio Pharmacy Services
Registry dates
- Enumerated
- 2010-03-09
- Last updated
- 2022-12-15
- Certified
- 2022-12-13
Frequently asked questions
- What is Reliant Care Pharmacy Services LLC's NPI number?
- Reliant Care Pharmacy Services LLC's National Provider Identifier (NPI) is 1487977195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reliant Care Pharmacy Services LLC?
- Reliant Care Pharmacy Services LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Reliant Care Pharmacy Services LLC located?
- Reliant Care Pharmacy Services LLC's practice location on file with NPPES is 4105 Westcor Ct Ste 1, Coralville, IA 52241-2874.
- What is Reliant Care Pharmacy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Reliant Care Pharmacy Services LLC is (319) 545-5100.
- Does Reliant Care Pharmacy Services LLC accept Medicare?
- Reliant Care Pharmacy Services 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 Reliant Care Pharmacy Services LLC?
- The authorized official listed on Reliant Care Pharmacy Services LLC's NPPES record is Devin Rujawitz, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reliant Care Pharmacy Services LLC's NPI active?
- Yes — Reliant Care Pharmacy Services LLC's NPI (1487977195) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.