NPIMap

Organization Active NPI

GRX Holdings, LLC

  • Compounding Pharmacy
  • Clive, IA
National Provider Identifier
1700144128
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
1105 Issued in IA
Legal business name
GRX HOLDINGS, LLC
Doing business as
Midwest Compounding
Practice address
9379 Swanson Blvd Ste E
Clive, IA 50325-6942
Phone
(515) 962-9314
Fax
(515) 219-7700
NPI assigned
Apr 24, 2012
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 1105 IA Primary

Addresses

Primary practice location

9379 Swanson Blvd Ste E
Clive, IA 50325-6942

Mailing address

9379 Swanson Blvd Ste E
Clive, IA 50325-6942
Phone (515) 962-9314

Other names 1

  • Midwest Compounding Doing business as

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

Locations

9379 Swanson Blvd
Ste E
Clive, IA 50325
Phone (515) 252-7555

404 E Euclid Ave
Ste 2
Indianola, IA 50125

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1700144128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9379 SWANSON BLVD STE E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256942",
            "telephone_number": "515-962-9314",
            "fax_number": "515-219-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9379 SWANSON BLVD STE E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256942",
            "telephone_number": "515-962-9314",
            "fax_number": "515-219-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRX HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "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": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IA",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Compounding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.