GRX HOLDINGS LLC (NPI# 1093764086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093764086 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS LLC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
208 E Euclid Ave Indianola IA 50125-1816 |
| Practice Telephone | 5159615303 |
| Practice Fax Number | 5159615964 |
| Mailing Telephone | 5159615303 |
| Mailing Fax Number | 5159615964 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | GREGORY J JOHANSEN (OWNER / 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 | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
495 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | DEA # | AM2172815 | 01 |
| IA | NCPDP # | 1613606 | 01 |
| Other Name | Type Code |
|---|---|
| Medicap Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679764294 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 2527 Easton Blvd, Des Moines, IA 50317-6119 | 2007-08-08 |
| 1306913983 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2006-11-29 |
| 1174617583 | Grx Holdings LLC | Pharmacy | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2006-10-03 |
| 1609803964 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2006-06-26 |
| 1023044179 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 10 S Warrior Lane, Waukee, IA 50263-5026 | 2006-06-23 |
| 1871535104 | Grx Holdings LLC | Pharmacy | 2501 E Walnut St, Des Moines, IA 50317-7951 | 2006-06-12 |
| 1528017647 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 1300 E 14th St, Des Moines, IA 50316-2404 | 2006-05-08 |
| 1255399663 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 318 N Lincoln St, Knoxville, IA 50138-2714 | 2006-05-03 |
| 1831409846 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 950 28th Ave Sw, Suite 1, Altoona, IA 50009-3927 | 2010-10-12 |
| 1669408175 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 105 Lincoln Way, Ames, IA 50010-3323 | 2006-06-25 |
| Street Address |
208 E EUCLID AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234399 | Shanna Zwanziger | Pharmacist | 208 E Euclid Ave, Indianola, IA 50125-1816 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1407343023 | Dowells Pharmacy | Pharmacy | 124 E Baker St, Indianola, MS 38751-2451 | 2018-04-19 |
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|---|---|---|---|---|
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| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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| 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.