GRX (NPI# 1598172025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598172025 |
| Entity Type | Organization |
| Organization Name | GRX |
| Practice Address |
316 Broadway St Audubon IA 50025-1104 |
| Practice Telephone | 7125632655 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | ADAM MIKKELSEN (PHARMACIST) |
| Authorized Official Telephone | 7128304487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 22284 | IA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRX COMMERCIAL LAUNDRY | 803 S Sgt Macario Garcia Drive, Ste. A, Houston, TX 77011-2503 |
| Iowa Business Entities | GRX CORPORATION | 2929 Westown Parkway, Ste. 100, West Des Moimes, IA 50266 |
| Massachusetts Corporations | GRX CORPORATION | 235 Moose Hill Parkway, Sharon, MA 02067 |
| Washington State Corporations | GRX CORPORATION | 25732 Se 41st St., Issaquah, WA 98029-4385 |
| New York State Corporations | GRX ELECTRIC CORP. | 8 West 38th Street, Suite 804, New York, New York 10018 |
| New York State Corporations | GRX ELECTRIC FIRE & DATA CORP. | 147 South Main Street, Freeport, New York 11520 |
| Oregon Corporations, Companies and Business Names | GRX GLOVES, LLC | 4781 Parkview Dr Apt B, Lake Oswego, OR 97035 |
| New York State Corporations | GRX GROUP LLC | 357 Barnard Ave., Woodmere, Ny 11598 |
| Iowa Business Entities | GRX HOLDINGS, LLC | 2929 Westown Parkway Ste. 100, West Des Moines, IA 50266 |
| Iowa Business Entities | GRX II, LTD. | 2929 Westown Parkway, Ste. 100, West Des Moines, IA 50266 |
| Street Address |
316 BROADWAY ST |
| City | AUDUBON |
| State | IA |
| Zip Code | 50025-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245281450 | Kimwood, Inc. | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2006-05-12 |
| 1295231785 | Adam Mikkelsen | Pharmacist | 316 Broadway St, Audubon, IA 50025-1104 | 2018-04-03 |
| 1366593626 | Trisha A Nelson | Pharmacist | 316 Broadway St, Audubon, IA 50025-1104 | 2007-01-15 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902286545 | Wellcure LLC | Pharmacy | 26 S White Horse Pike, Audubon, NJ 08106-1303 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 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.