GRX HOLDINGS LLC (NPI# 1306913983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306913983 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS LLC |
| Other Organization Name | MEDICAP PHARMACY LTC |
| Practice Address |
404 E Euclid Ave Indianola IA 50125-1730 |
| Practice Telephone | 5159629399 |
| Practice Fax Number | 5159622202 |
| Mailing Telephone | 5159629399 |
| Mailing Fax Number | 5159622202 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | GREG J JOHANSEN (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 5154401270 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1309 | IA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NCPDP | 1622871 | 01 |
| IA | DEA # | FM0075932 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICAP PHARMACY LTC | 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 |
| 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 |
| 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 |
404 E EUCLID AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114068921 | Grx Holdings, LLC | Pharmacy | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2007-02-12 |
| 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 | 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 |
|---|---|---|---|---|
| 1114068921 | Grx Holdings, LLC | Pharmacy | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2007-02-12 |
| 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 | ||||
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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.