Active NPI
GRX Holdings, LLC
- Long Term Care Pharmacy
- Newton, IA
National Provider Identifier
1548091382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GRX HOLDINGS, LLC
- Practice address
- 212 1St St N
Newton, IA 50208-3232 - Phone
- (641) 792-3528
- Fax
- (641) 792-3526
- NPI assigned
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
212 1St St N
Newton, IA 50208-3232
Mailing address
212 1St St N
Newton, IA 50208-3232
Phone (641) 792-3528
Other names 1
- Medicap Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- GRX Holdings LLC
Other organizations with this tax ID 48
Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Retail Pharmacy
- Waukee, IA
- NPI 1023044179
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- Community/Retail Pharmacy
- Waterloo, IA
- NPI 1063353654
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- Indianola, IA
- NPI 1093764086
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- Community/Retail Pharmacy
- Norwalk, IA
- NPI 1124086533
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- Long Term Care Pharmacy
- Indianola, IA
- NPI 1164274924
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- Compounding Pharmacy
- Waterloo, IA
- NPI 1164363743
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- Community/Retail Pharmacy
- Eldora, IA
- NPI 1174617583
-
- Long Term Care Pharmacy
- Ames, IA
- NPI 1205649969
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- Community/Retail Pharmacy
- Story City, IA
- NPI 1205777893
-
- Community/Retail Pharmacy
- Lenox, IA
- NPI 1235070830
-
- Community/Retail Pharmacy
- Knoxville, IA
- NPI 1255399663
-
- Community/Retail Pharmacy
- Coralville, IA
- NPI 1265373849
Locations
212 1st St N
Newton, IA 50208
Phone (641) 792-3111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1548091382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 1ST ST N",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083232",
"telephone_number": "641-792-3528",
"fax_number": "641-792-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 1ST ST N",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083232",
"telephone_number": "641-792-3528",
"fax_number": "641-792-3526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRX HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"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": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicap Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.