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GRX HOLDINGS LLC NPI 1093764086


NPI Information

NPI: 1093764086
Provider Name: GRX HOLDINGS LLC

Doing Business As: MEDICAP PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D1084120

Address:
2105 N 3RD LN
INDIANOLA, IA
ZIP 50125
Phone: (515) 961-5303
Get Directions

GRX HOLDINGS LLC is a community/retail pharmacy pharmacy in Indianola, IA. The provider is 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. GRX HOLDINGS LLC NPI is 1093764086. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicap Pharmacy.

The provider's business location address is:

2105 N 3RD LN
INDIANOLA, IA
ZIP 50125
Phone: (515) 961-5303
Fax: (515) 961-5964

The provider's authorized official is Michael Fuller .
The authorized official title is President and has the following contact phone number (515) 321-7644.

The CLIA number assigned to this NPI record is 16D1084120 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy495IOWAYes
33336L0003XPharmacyLong Term Care PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11613606OTHERIOWANCPDP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.