GRX HOLDINGS, LLC


Address: 2804 Beaver Ave, Des Moines, IA 50310-4038
Phone: 5152773702

GRX HOLDINGS, LLC (NPI# 1942452230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942452230
Entity Type Organization
Organization Name GRX HOLDINGS, LLC
Other Organization Name MEDICAP PHARMACY
Practice Address 2804 Beaver Ave
Des Moines
IA 50310-4038
Practice Telephone 5152773702
Practice Fax Number 5152773703
Mailing Telephone 5152773702
Mailing Fax Number 5152773703
Enumeration Date 2008-10-17
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies 1222 IA Suppliers
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IA DEA FM1116068 01
NCPDP # 1623520 01

Other Provider/Organization Names

Other Name Type Code
Medicap Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154848273 Grx Holdings, LLC Pharmacy 400 1st Ave. W, Newton, IA 50208 2017-08-29
1700144128 Grx Holdings, LLC Pharmacy 12871 University Ave Ste 130, Clive, IA 50325-8256 2012-04-24
1134647100 Grx Holdings, LLC Pharmacy 107 Ne Delaware Ave Ste 6, Ankeny, IA 50021-6691 2017-08-30
1578014213 Grx Holdings, LLC Durable Medical Equipment & Medical Supplies 403 Story St, Boone, IA 50036-3533 2016-10-18
1598182206 Grx Holdings, LLC Durable Medical Equipment & Medical Supplies 317 N Market St, Audubon, IA 50025-7562 2014-03-20
1932523461 Grx Holdings, LLC Pharmacy 504 14th St, Dallas Center, IA 50063-2075 2014-02-04
1730500794 Grx Holdings, LLC Pharmacy 615 E Main St, Panora, IA 50216-1097 2013-12-18
1982958997 Grx Holdings, LLC Durable Medical Equipment & Medical Supplies 303 Sw 7th St, Suite A, Stuart, IA 50250-2164 2012-10-30
1114068921 Grx Holdings, LLC Pharmacy 404 E Euclid Ave, Indianola, IA 50125-1730 2007-02-12

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities GRX HOLDINGS, LLC 2929 Westown Parkway Ste. 100, West Des Moines, IA 50266

Office Location

Street Address 2804 BEAVER AVE
City DES MOINES
State IA
Zip Code 50310-4038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457405805 Stelinhos Beaverdale LLC Pharmacy 2804 Beaver Ave, Des Moines, IA 50310-4038 2007-01-23
1760963185 Janelle Beal Pharmacist 2804 Beaver Ave, Des Moines, IA 50310-4038 2018-08-23
1023506003 Adam Zimbeck Pharmacist 2804 Beaver Ave, Des Moines, IA 50310-4038 2018-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295392082 Cofe Amera LLC Meals 4940 Franklin Ave., Des Moines, IA 50310 2019-05-28
1790237444 Shannon Schneider Occupational Therapy Assistant 3802 Hillcrest Dr, Des Moines, IA 50310 2016-10-28
1013261874 Department of Veterans Affairs Central Iowa Health Care System Long Term Care Hospital 3011 Aurora Ave, Des Moines, IA 50310 2012-11-01
1700095551 Real Optics Inc Eyewear Supplier (Equipment, not the service) 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 2007-05-21
1184776023 Mosaic Intermediate Care Facility, Mentally Retarded 4201 41st Street, Des Moines, IA 50310 2007-01-18
1639237951 Terry D. Huseman Od PC Optometrist 3800 Merle Hay Rd #501, Des Moines, IA 50310 2006-12-06
1386710259 Mosier Dental Associates Dentist 1816 Beaver Ave, Des Moines, IA 50310 2006-11-24
1194828632 James Matthew Talone Psychologist Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 2006-09-07
1437251824 Mary Cynthia Chicoine Social Worker 3601 Douglas Ave, Des Moines, IA 50310 2006-09-05
1508978602 Chadwick Aaron Johnson Dentist 3710 Merle Hay Road, Des Moines, IA 50310 2006-08-31
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City DES MOINES
Zip Code 50310

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Dataset Information

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.

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