CallataGuides

Business phone system for pharmacies and drug stores in Iowa

370 pharmacies and drug stores operated in Iowa in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
370CBP 2023
Employees
6,666mid-March 2023
Per 100k residents
11.4U.S. 12.3
State rank
31st of 51by count

Pharmacies and drug stores in Iowa by the numbers

County Business Patterns counts 370 establishments in Iowa classified as Pharmacies and Drug Stores (NAICS 446110) for 2023. They employed 6,666 people in mid-March and reported $247.1 million in annual payroll. That is the 31st highest count among the 51 states and DC with published figures. Pharmacies and drug stores make up 0.44% of the 83,321 business establishments in the state.

Per 100,000 residents (2024 estimate) Iowa has 11.4 pharmacies and drug stores, 7.1% below the national rate of 12.3. The average establishment has 18.0 employees against 16.5 nationally. Payroll per employee is $37,076, 16.6% below the U.S. figure of $44,477.

Pharmacies and drug stores: Iowa compared with the U.S., 2023
MeasureIowaUnited States
Establishments37041,792
Mid-March employees6,666691,152
Annual payroll$247,149,000$30,740,561,000
Employees per establishment18.016.5
Payroll per employee$37,076$44,477
Establishments per 100,000 residents11.412.3

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Pharmacies and drug stores by metro area in Iowa

Census published pharmacy counts for 20 metro or micropolitan areas that include part of Iowa. The largest is Omaha, NE-IA, with 79 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 58% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Pharmacies and drug stores by metro or micropolitan area, Iowa, 2023
AreaEstablishmentsEmployeesPer 100k residents
Omaha, NE-IA792,0447.9
Des Moines, IA711,5789.4
Davenport, IA-IL4088810.5
Cedar Rapids, IA3374111.8
Iowa City, IA1944010.4
Waterloo, IA1840610.6
Sioux City, IA-NE-SD1728511.6
Dubuque, IA1636816.1
Ames, IA1315110.1
Clinton, IA710115.2
Burlington, IA-IL6—13.5
Mason City, IA5—10.0
Ottumwa, IA511314.0
Le Mars, IA52619.4
Muscatine, IA4—9.5
Fort Dodge, IA46810.8
Carroll, IA4—19.6
Marshalltown, IA3—7.4
Pella, IA3—8.8
Fort Madison, IA3789.3

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at pharmacies and drug stores in Iowa

17.9% of Iowa's pharmacies and drug stores with employees had fewer than five people in March 2023, compared with 18.4% nationally. 39.3% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Pharmacies and drug stores in Iowa by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees6617.9%18.4%
5–9 employees7921.4%20.3%
10–19 employees8322.5%16.4%
20–49 employees12233.1%43.4%
50 or more employees195.1%1.6%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

What pharmacies and drug stores in Iowa use the phone for

Independent pharmacies take refill requests, prescriber calls and insurance questions throughout the day, often while pharmacists are filling prescriptions. Sorting calls by purpose keeps prescribers and patients from waiting in the same queue.

Typical inbound and outbound calls for pharmacies and drug stores in Iowa:

After-hours calls

After-hours messages are mostly refill requests that staff can process at opening.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

What a phone system costs a pharmacy in Iowa

Pharmacies and drug stores in Iowa average 18.0 employees, so the comparison uses an 18-person team. On a per-user plan that headcount sets the bill: $449.10 a month on Ooma Office Pro or $540.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 18 people cost $359.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $2,172. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for an 18-person pharmacy
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$359.00$4,308.00
Quo (Starter)$19.00 per user$342.00$4,104.00
Nextiva (Core)$23.00 per user$414.00$4,968.00
Ooma (Office Pro)$24.95 per user$449.10$5,389.20
Dialpad (Standard)$27.00 per user$486.00$5,832.00
RingCentral (RingEX Core)$30.00 per user$540.00$6,480.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Iowa

Iowa has 5 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your customers know, subject to carrier inventory, or port your current number for free.

Area codes in Iowa by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
712633Central1947none
641584Central2000none
515578Central1947none
319565Central1947none
563388Central2001none

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for pharmacies and drug stores in Iowa

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

If you already have a number in Iowa, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many pharmacies and drug stores are in Iowa?

370 in 2023, according to Census County Business Patterns. They employed 6,666 people in mid-March.

Which Iowa metro area has the most pharmacies and drug stores?

Omaha, NE-IA, with 79 establishments in 2023.

What does a phone system cost an 18-person pharmacy?

$540.00 a month on RingCentral RingEX Core or $449.10 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $359.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Iowa number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.