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MEDICAP PHARMACY LTC
NPI 1306913983
Pharmacy - Long Term Care Pharmacy in Indianola, IA

Active since November 29, 2006CLIA 16D1084120 · Waiver
404 E EUCLID AVE, INDIANOLA, IA 50125(515) 962-9399(515) 962-2202 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Mar 7, 2023, Jan 6, 2020 and 3 more (6 updates tracked since 2016).

About Medicap Pharmacy Ltc NPPES

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

MEDICAP PHARMACY LTC (NPI 1306913983) is a healthcare organization registered as a long term care pharmacy in Indianola, Iowa and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Michael Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1306913983
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGRX HOLDINGS LLC
Location Address404 E EUCLID AVEIndianola, IA 50125-1730
Mailing Address404 E Euclid AveIndianola, IA 50125-1730 · (515) 962-9399 · Fax (515) 962-2202
Phone(515) 962-9399
Fax(515) 962-2202
Organization SubpartNo
Authorized OfficialMichael FullerPresident · (515) 321-7644
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 17, 20246 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1306913983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1309 (IA)
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
404 E EUCLID AVE, Indianola, IA 50125
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicap Pharmacy Ltc

Other Identifiers 1

Other1622871IA · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1084120

Medicap Pharmacy Grx Holdings LLC · Indianola, IA
Active · expires May 15, 2028
CLIA Number16D1084120
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorJennifer Clodfelter
Laboratory Phone(515) 961-5303
Laboratory LocationMedicap Pharmacy Grx Holdings LLC2105 N 3rd Lane, Indianola, IA 50125
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

GENEROSA D ARCHER PHARMD
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9399
MICHAEL HARVEY COOLEY
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 996-9142
DR. TYLER GREGORY GREINER PHARMD
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9314
NANETTE K COOLEY RPH
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9399
LINDSEY JANE LUDWIG RPH
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9399
MR. BARRY HITT RPH
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9399
MICHAEL ALAN OHNEMUS
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9399
CASSIDY RAE GRAHAM PHARMD
Pharmacist
404 E EUCLID AVE
INDIANOLA, IA 50125
Warren County (515) 962-9399

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 1306913983. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Medicap Pharmacy Ltc.

Where is Grx Holdings LLC located?

Grx Holdings LLC is located at 404 E Euclid Ave, Indianola, IA 50125. The listed phone number is (515) 962-9399.

What is Grx Holdings LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Grx Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1084120) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grx Holdings LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Grx Holdings LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grx Holdings LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.