Organization Active NPI

Rjgrx Inc

Doing business as Denver Drug

  • Community/Retail Pharmacy
  • Denver, IA
National Provider Identifier
1124192539
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
385 Issued in IA
Legal business name
RJGRX INC
Doing business as
Denver Drug
Practice address
340 S State St
Denver, IA 50622-7706
Phone
(319) 984-5691
Fax
(319) 984-5687
NPI assigned
Nov 17, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Robert Greenwood, RPHNPI 1770533002
Title
Owner
Phone
(319) 234-6673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 385 IA Primary

Addresses

Primary practice location

340 S State St
Denver, IA 50622-7706

Mailing address

PO Box 120
Denver, IA 50622-0120

Other identifiers 2

IdentifierTypeStateIssuer
2027500OtherPK
1124192539MedicaidIA

Other names 1

  • DENVER DRUG Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040524000619 IA Part B Supplier - Mass Immunization (Roster Biller Only) 2567453947 Practice locations: Denver, IA
O20100930066274 IA DME Supplier - Pharmacy 2567453947 Practice locations: Denver, IA

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
16D2172107Denver Drug340 S State St, Denver, IA 50622Certificate of waiverSep 15, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Denver Drug340 S State St, Denver, IA 50622-9998(319) 984-5691 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 2020

National Provider Directory

National Provider Directory

Locations

340 S State St
Denver, IA 50622
Phone (319) 984-5691

Practitioners & affiliated clinicians

Practitioners 2

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1124192539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "506220120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S STATE ST",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "506227706",
            "telephone_number": "319-984-5691",
            "fax_number": "319-984-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJGRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-234-6673",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124192539",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENVER DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DENVER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.