GRX HOLDINGS LLC (NPI# 1679764294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679764294 |
| Entity Type | Organization |
| Organization Name | GRX HOLDINGS LLC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
2527 Easton Blvd Des Moines IA 50317-6119 |
| Practice Telephone | 5152662694 |
| Practice Fax Number | 5152662695 |
| Mailing Telephone | 5152662694 |
| Mailing Fax Number | 5152662695 |
| Enumeration Date | 2007-08-08 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
65 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NCPDP # | 1623126 | 01 |
| IA | DEA # | FG0438235 | 01 |
| Other Name | Type Code |
|---|---|
| Medicap Pharmacy | Doing Business As Name - Organization |
| 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 |
| 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 |
2527 EASTON BLVD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50317-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552326 | Megan Zimmer | Pharmacist | 2527 Easton Blvd, Des Moines, IA 50317-6119 | 2020-09-15 |
| 1215492293 | Carolyn Gsell | Pharmacist | 2527 Easton Blvd, Des Moines, IA 50317-6119 | 2019-02-05 |
| 1487132031 | Melissa Klotz | Pharmacist | 2527 Easton Blvd, Des Moines, IA 50317-6119 | 2018-08-04 |
| 1346746583 | Emily Lyn Oltmanns | Pharmacist | 2527 Easton Blvd, Des Moines, IA 50317-6119 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239128 | William Shane Lounsbery | Counselor | 2824 E 38th Street, Des Moines, IA 50317 | 2012-01-30 |
| 1710275904 | Jessica Lyn Deboom | Counselor | C/o Prairie Wellness, 3209 Ingersoll Ave Ste 100, Des Moines, IA 50317 | 2011-07-21 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
| 1902938699 | C Fredrick Fuller | Dentist | 3223 E 29th St, Des Moines, IA 50317 | 2007-03-09 |
| 1164593596 | Darrin E Ausman | Occupational Therapist | 2918 East University Avenue, Des Moines, IA 50317 | 2006-11-09 |
| 1386715720 | Laura Anne Henry | Physical Therapist | 2918 East University Aveneue, Des Moines, IA 50317 | 2006-11-09 |
| 1295784494 | James A Blasco | Optometrist | 2566 Hubbell Ave, Des Moines, IA 50317 | 2006-05-08 |
| 1457327116 | Danice Franchelle Klimek | Internal Medicine | 2524 E 42nd St, Des Moines, IA 50317 | 2006-02-23 |
| 1881699486 | Hospice of Central Iowa | Hospice Care, Community Based | 3000 Easton Blvd, Des Moines, IA 50317 | 2005-06-20 |
| Find all providers in zip 50317 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033655360 | Hy Vee Inc | Pharmacy | 420 Court Ave, Des Moines, IA 50309-2237 | 2017-01-10 |
| 1508294620 | Cerner Health Connections, Inc | Pharmacy | 750 Park St, Cerner Health Connections, Inc, Des Moines, IA 50309-1607 | 2013-10-29 |
| 1316081938 | Bauder Pharmacy Inc | Pharmacy | 3802 Ingersoll Ave, Des Moines, IA 50312-3413 | 2007-02-16 |
| 1700954781 | Des Moines Drug Store Inc | Pharmacy | 627 So 227th St, Des Moines, WA 98198-6827 | 2006-11-30 |
| 1699785048 | Foods Inc | Pharmacy | 3400 E 33rd St, Des Moines, IA 50317-3835 | 2006-08-08 |
| 1982619292 | Walgreen Co | Pharmacy | 104 E Euclid Ave, Des Moines, IA 50313-4507 | 2006-07-29 |
| 1891700100 | Walgreen Co | Pharmacy | 3501 Ingersoll Ave, Des Moines, IA 50312-3406 | 2006-07-29 |
| 1154344471 | Iowa Cvs Pharmacy LLC | Pharmacy | 5901 Douglas Ave, Des Moines, IA 50322-3303 | 2006-07-26 |
| 1487671046 | Dgs-acquisitions LLC | Pharmacy | 3425 Ingersoll Ave, Des Moines, IA 50312-3915 | 2006-07-17 |
| 1164455218 | Dgs-acquisitions LLC | Pharmacy | 4121 Fleur Dr, Des Moines, IA 50321-2323 | 2006-07-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50317 |
Please comment or provide details below to improve the information on GRX HOLDINGS LLC.
| 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.