NPIMap

Organization Active NPI

GRX Holdings LLC

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Norwalk, IA
National Provider Identifier
1124086533
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1044 Issued in IA
Legal business name
GRX HOLDINGS LLC
Doing business as
Medicap Pharmacy
Practice address
2301 Sunset Dr
Suite a
Norwalk, IA 50211
Phone
(515) 285-2026
Fax
(515) 287-2307
NPI assigned
May 3, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Fuller
Title
President
Phone
(515) 321-7644

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 1044 IA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2301 Sunset Dr
Suite a
Norwalk, IA 50211

Mailing address

2301 Sunset Dr
Suite a
Norwalk, IA 50211
Phone (515) 285-2026

Other identifiers 1

IdentifierTypeStateIssuer
1619204OtherIANCPDP #

Other names 1

  • Medicap Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080520000539 IA Part B Supplier - Mass Immunization (Roster Biller Only) 9931278744 21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winterset, IA; Waukee, IA; Stuart, IA; Panora, IA; Boone, IA; Norwalk, IA; Newton, IA; Knoxville, IA…
O20220406000499 IA DME Supplier - Pharmacy 9931278744 Practice locations: Norwalk, IA

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2001130Medicap Pharmacy2301 Sunset Dr Ste a, Norwalk, IA 50211Certificate of waiverDec 13, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medicap Pharmacy2301 Sunset Dr, Norwalk, IA 50211-9673(515) 282-2026 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Wal… Does not accept assignmentParticipating since May 1, 2008

National Provider Directory

National Provider Directory
Tax ID family
GRX Holdings LLC49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 18

Organizations listed as members of this organization in the National Provider Directory.

View all 18

Locations

107 NE Delaware Ave
Ste 6
Ankeny, IA 50021
Phone (515) 964-8550

317 N Market St
Audubon, IA 50025
Phone (712) 563-2655

2501 E Walnut St
Des Moines, IA 50317
Phone (515) 262-5615

250 SE Gateway Dr
Grimes, IA 50111
Phone (515) 986-0101

208 E Euclid Ave
Indianola, IA 50125
Phone (515) 961-5303

1128 Sunset Dr
Norwalk, IA 50211
Phone (515) 981-0036

2301 Sunset Dr
Ste A
Norwalk, IA 50211
Phone (515) 285-2026

2521 Sunset Dr
Ste 1
Norwalk, IA 50211
Phone (515) 285-2026

303 SW 7th St
Ste A
Stuart, IA 50250
Phone (515) 523-1525

904 N John Wayne Dr
Winterset, IA 50273
Phone (515) 462-2880

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Karen AcresUrbandale, IA, CCN 165460 Skilled nursing facility Adp of the SNF Aug 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Crystal Inc

    dba Karen Acres Healthcare Center

    • Skilled Nursing Facility
    • Urbandale, IA
    • NPI 1295819225

    Adp of the SNF

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1124086533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SUNSET DR",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "50211",
            "telephone_number": "515-285-2026",
            "fax_number": "515-287-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SUNSET DR",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "50211",
            "telephone_number": "515-285-2026",
            "fax_number": "515-287-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRX HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-321-7644"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1044",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1619204",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, IA

Sources for this page

Verify at the official NPI Registry.