GRX HOLDINGS LLC (NPI# 1609803964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609803964 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS LLC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
250 Se Gateway Dr Grimes IA 50111-2045 |
| Practice Telephone | 5159860101 |
| Practice Fax Number | 5159863382 |
| Mailing Telephone | 5159860101 |
| Mailing Fax Number | 5159863382 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | GREG 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 | 1169 | IA | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1169 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NCPDP # | 1621069 | 01 |
| IA | DEA # | FG0789567 | 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 |
| 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 |
250 SE GATEWAY DR |
| City | GRIMES |
| State | IA |
| Zip Code | 50111-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514767 | Michael Jerome Bukstein Jr. | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2018-04-02 |
| 1770921488 | Andrew Ryan Funk | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2013-06-05 |
| 1700166857 | Kathryn Elizabeth Starbuck | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2011-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200914 | Ccrc of Grimes, LLC | Skilled Nursing Facility | 200 Sw Brookside Drive, Grimes, IA 50111 | 2011-05-25 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1548481591 | Siebert Mobility, Inc. | Contractor | 3450 Se Miehe Drive, Suite 1, Grimes, IA 50111 | 2007-05-01 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1235158452 | Amanda Jorgensen | Dentist | 100 Sw Brookside Dr, Grimes, IA 50111 | 2006-07-19 |
| 1922065903 | Curtis R Waddingham | Specialist/Technologist | 270 Sw 1st St, Ste H, Grimes, IA 50111 | 2006-04-26 |
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| Find all providers in zip 50111 | ||||
| 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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| 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.