GRX HOLDINGS, LLC (NPI# 1598182206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598182206 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS, LLC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
317 N Market St Audubon IA 50025-7562 |
| Practice Telephone | 7125632655 |
| Practice Fax Number | 8449443096 |
| Mailing Telephone | 7125632655 |
| Mailing Fax Number | 8449443096 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | GREGORY J JOHANSEN (PRESIDENT) |
| Authorized Official Telephone | 5154401270 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1502 | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1502 | IA | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
1502 | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| Medicap Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1700144128 | Grx Holdings, LLC | Pharmacy | 12871 University Ave Ste 130, Clive, IA 50325-8256 | 2012-04-24 |
| 1134647100 | Grx Holdings, LLC | Pharmacy | 107 Ne Delaware Ave Ste 6, Ankeny, IA 50021-6691 | 2017-08-30 |
| 1578014213 | Grx Holdings, LLC | Durable Medical Equipment & Medical Supplies | 403 Story St, Boone, IA 50036-3533 | 2016-10-18 |
| 1932523461 | Grx Holdings, LLC | Pharmacy | 504 14th St, Dallas Center, IA 50063-2075 | 2014-02-04 |
| 1730500794 | Grx Holdings, LLC | Pharmacy | 615 E Main St, Panora, IA 50216-1097 | 2013-12-18 |
| 1982958997 | Grx Holdings, LLC | Durable Medical Equipment & Medical Supplies | 303 Sw 7th St, Suite A, Stuart, IA 50250-2164 | 2012-10-30 |
| 1942452230 | Grx Holdings, LLC | Durable Medical Equipment & Medical Supplies | 2804 Beaver Ave, Des Moines, IA 50310-4038 | 2008-10-17 |
| 1114068921 | Grx Holdings, LLC | Pharmacy | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GRX HOLDINGS, LLC | 2929 Westown Parkway Ste. 100, West Des Moines, IA 50266 |
| Street Address |
317 N MARKET ST |
| City | AUDUBON |
| State | IA |
| Zip Code | 50025-7562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905888 | Terry L Sprague | Family Medicine | 222 Broadway, Audubon Medical Clinic, Audubon, IA 50025 | 2006-05-03 |
| 1316901580 | Carol Klocke | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-14 |
| 1316900319 | George Smith | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-10 |
| 1154390797 | William Evans Barron | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-03-16 |
| 1518931286 | Audubon County Memorial Hospital | Medicare Defined Swing Bed Unit | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1730153420 | Audubon County Memorial Hospital | Emergency Medicine | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1710951686 | Audubon County Memorial Hospital | General Acute Care Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-15 |
| 1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
| 1114919818 | Shelley Brinkman Diehl | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1056 | 2005-08-18 |
| 1770931412 | Rae Marie Mcdivitt | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2016-06-02 |
| Find all providers in zip 50025 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864950 | Pm Acquisition, LLC | Pharmacy | 4927 Maple Dr Ste 200, Pleasant Hill, IA 50327-2030 | 2019-11-05 |
| 1992348882 | Pharmscript of Ia LLC | Pharmacy | 2601 104th St Ste 300, Urbandale, IA 50322-3954 | 2019-10-23 |
| 1063070985 | Pm Acquisition, LLC | Pharmacy | 107 W Main St Ste B, Ottumwa, IA 52501-2542 | 2019-06-05 |
| 1720543812 | Greenfield Pharmacy LLC | Pharmacy | 202 Se Kent St Ste 1, Greenfield, IA 50849-1411 | 2019-02-04 |
| 1508339425 | Pm Acquisition, LLC | Pharmacy | 2039 Crossroads Blvd Ste B, Waterloo, IA 50702-4403 | 2019-01-03 |
| 1427533165 | Consultant Pharmacists Inc | Pharmacy | 714 Illinois St, Sidney, IA 51652-8027 | 2018-09-28 |
| 1912486226 | Gbank Health LLC | Pharmacy | 617 8th Ave Se Ste C, Cedar Rapids, IA 52401-2117 | 2018-08-08 |
| 1811475064 | Gbank Health LLC | Pharmacy | 876 Tanglefoot Ln, Bettendorf, IA 52722-1605 | 2018-07-31 |
| 1588175103 | L & M Pharmacy Care | Pharmacy | 2526 Glenn Ave, Sioux City, IA 51106-2768 | 2017-10-23 |
| 1609393917 | Lewis Family Drug, LLC | Pharmacy | 528 S 3rd St, Moville, IA 51039 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRX HOLDINGS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.