GRX HOLDINGS, LLC (NPI# 1114068921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114068921 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS, LLC |
| Other Organization Name | MEDICAP LTC VITAL CARE |
| Practice Address |
404 E Euclid Ave Indianola IA 50125-1730 |
| Practice Telephone | 5159622656 |
| Practice Fax Number | 5159622202 |
| Mailing Telephone | 5159622656 |
| Mailing Fax Number | 5159622202 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | KAREN K MERRILL (VICE PRESIDENT OPERATIONS) |
| Authorized Official Telephone | 5154401270 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
1309 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1622871 | 01 | |
| IA | DEA | FM0075932 | 01 |
| Other Name | Type Code |
|---|---|
| Medicap LTC VITAL CARE | 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 |
| 1598182206 | Grx Holdings, LLC | Durable Medical Equipment & Medical Supplies | 317 N Market St, Audubon, IA 50025-7562 | 2014-03-20 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GRX HOLDINGS, LLC | 2929 Westown Parkway Ste. 100, West Des Moines, IA 50266 |
| Street Address |
404 E EUCLID AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306913983 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2006-11-29 |
| 1891311155 | Cassidy Rae Graham | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2020-06-23 |
| 1912493503 | Victoria Jo Demarce | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-07-06 |
| 1245723857 | Michael Harvey Cooley | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-06-08 |
| 1306343363 | Tyler Gregory Greiner | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-04-06 |
| 1386140648 | Lindsey Jane Ludwig | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-04-04 |
| 1699289496 | Michael Alan Ohnemus | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2017-12-01 |
| 1629231824 | Barry Hitt | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2008-07-08 |
| 1013040674 | Generosa D Archer | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2007-03-13 |
| 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 | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239460 | Rashid Pharmacy P L C | Pharmacy | 815 Office Park Rd Ste 1, West Des Moines, IA 50265-2502 | 2011-05-09 |
| 1669444659 | American Homepatient, Inc. | Pharmacy | 10540 Hickman Rd, Suite D, Des Moines, IA 50325-3711 | 2006-02-03 |
| 1922231364 | Nudak Ventures, LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2009-09-02 |
| 1801040720 | Bauder Pharmacy | Pharmacy | 3802 Ingersoll Ave, Des Moines, IA 50312-3413 | 2008-11-05 |
| 1407050727 | T Zenon Pharmaceuticals | Pharmacy | 230 Scott Ct, Iowa City, IA 52245-3997 | 2007-06-12 |
| 1053432278 | Keokuk Area Medical Equipment & Supply, Inc. | Pharmacy | 420 N 17th St, Keokuk, IA 52632-3452 | 2007-04-03 |
| 1053400960 | Unitypoint At Home | Pharmacy | 11333 Aurora Ave., Urbandale, IA 50322 | 2006-10-11 |
| 1235245051 | P B R Inc | Pharmacy | 141 S Central Ave, Hartley, IA 51346-1412 | 2006-08-22 |
| 1013942788 | Unitypoint At Home | Pharmacy | 11333 Aurora Ave, Urbandale, IA 50322-7908 | 2006-07-11 |
| 1912950239 | Mercy Home Infusion Pharmacy | Pharmacy | 1000 4th St Sw, Mason City, IA 50401 | 2006-05-18 |
| 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.