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GRX HOLDINGS LLC
NPI 1164363743
Pharmacy - Compounding Pharmacy in Waterloo, IA

Active since April 06, 2026
209 E SAN MARNAN DR, WATERLOO, IA 50702(319) 236-8891 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 15, 2026, Apr 6, 2026 (2 updates tracked since 2026).

About Grx Holdings Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRX HOLDINGS LLC (NPI 1164363743) is a healthcare organization registered as a compounding pharmacy in Waterloo, Iowa and active in the NPI registry since April 2026. The organization lists Michael Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1164363743
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameGRX HOLDINGS LLC
Location Address209 E SAN MARNAN DRWaterloo, IA 50702-5840
Mailing Address209 E San Marnan DrWaterloo, IA 50702-5840 · (319) 236-8891
Phone(319) 236-8891
Organization SubpartNo
Authorized OfficialMichael FullerPresident · (515) 321-7644
Enumeration DateApril 6, 2026
Last NPPES UpdateMay 15, 20262 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1164363743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
209 E SAN MARNAN DR, Waterloo, IA 50702
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NUDAK VENTURES LLC
Pharmacy (Community/Retail Pharmacy)
209 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 236-8891
SHANNON ANN THOMA ARNP
Nurse Practitioner
209 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 236-8891
DR. ALISHA JEAN EGGERS PHARMD
Pharmacist
209 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 236-8891
DR. JOSEPH E ANDEREGG PHARMD
Pharmacist
209 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 236-8891
JULIE ANN STAHL PHARMD
Pharmacist
209 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 236-8891
DR. DENNIS KITZMAN PHARMD
Pharmacist
209 E SAN MARNAN DR
WATERLOO, IA 50702
Black Hawk County (319) 236-8891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grx Holdings LLC's NPI number?

The NPI number for Grx Holdings LLC is 1164363743. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Grx Holdings LLC located?

Grx Holdings LLC is located at 209 E San Marnan Dr, Waterloo, IA 50702. The listed phone number is (319) 236-8891.

What is Grx Holdings LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Grx Holdings LLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.