NPIMap

Organization Active NPI

GRX Holdings LLC

Doing business as Medicap Pharmacy

  • Long Term Care Pharmacy
  • Grimes, IA
National Provider Identifier
1942052709
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GRX HOLDINGS LLC
Doing business as
Medicap Pharmacy
Practice address
250 SE Gateway Dr
Grimes, IA 50111-2045
Phone
(515) 986-0101
Fax
(515) 986-3382
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 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
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

250 SE Gateway Dr
Grimes, IA 50111-2045

Mailing address

2929 Westown Pkwy Ste 100
West Des Moines, IA 50266-1319
Phone (515) 280-2917

Other names 1

  • Medicap Pharmacy 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

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1942052709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661319",
            "telephone_number": "515-280-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SE GATEWAY DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112045",
            "telephone_number": "515-986-0101",
            "fax_number": "515-986-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRX HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.