GRX HOLDINGS LLC (NPI# 1174617583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174617583 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS LLC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
1602 Edgington Ave Eldora IA 50627-1626 |
| Practice Telephone | 6418583567 |
| Practice Fax Number | 6418583189 |
| Mailing Telephone | 6418583567 |
| Mailing Fax Number | 6418583189 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | GREG J JOHANSEN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5154401270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
241 | IA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1621641 | 01 | |
| IA | DEA # | FG0789543 | 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 |
| 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 |
| 1093764086 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 208 E Euclid Ave, Indianola, IA 50125-1816 | 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 |
1602 EDGINGTON AVE |
| City | ELDORA |
| State | IA |
| Zip Code | 50627-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686856 | Stephanie Mccollom | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2018-04-16 |
| 1386140929 | Keisha Meehan Troendle | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2018-04-03 |
| 1477689479 | Gaylord Earl Victora | Pharmacist | 1602 Edgington Ave, Eldora, IA 50627-1626 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619226503 | Margaret Evelyn Britcher | Community Health Worker | 1233 14th Ave, Eldora, IA 50627 | 2012-09-06 |
| 1285741116 | Sara A Anderson Dds PC | Dentist | 1906 Edgington Ave, Eldora, IA 50627 | 2006-08-24 |
| 1649355512 | Sara Ann Anderson | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2006-10-26 |
| 1912429853 | Kale D Floyd | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2017-07-12 |
| 1912082884 | Sara A Anderson, Dds, PC | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2006-10-26 |
| 1649311093 | Robert Franklin Shirley | Dentist | 1217 14th Avenue, Eldora, IA 50627-1405 | 2007-02-09 |
| 1447223912 | Care Initiatives | Skilled Nursing Facility | 2313 15th Ave, Eldora, IA 50627-1511 | 2006-02-07 |
| 1063837383 | Greenbelt Home Care | Public Health or Welfare | 2411 Edgington Ave, Eldora, IA 50627-1541 | 2014-02-24 |
| 1710142310 | Terrie J Wilborn | Physical Therapist | 2413 Edgington Ave, Eldora, IA 50627-1541 | 2008-07-23 |
| 1730737248 | Tonya Jo Ringena | Nurse Practitioner | 2413 Edgington Ave, Eldora, IA 50627-1541 | 2019-08-28 |
| Find all providers in zip 50627 | ||||
| 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] |
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| 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.