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MEDICAP PHARMACY
NPI 1912956020
Pharmacy - Community/Retail Pharmacy in Carlisle, IA

Active since May 08, 2006CLIA 16D1055792 · Waiver
800 SCHOOL ST, CARLISLE, IA 50047(515) 989-3261(515) 989-4140 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2024, Mar 7, 2023, Jan 6, 2020 and 2 more (5 updates tracked since 2016).

About Medicap Pharmacy NPPES

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

MEDICAP PHARMACY (NPI 1912956020) is a healthcare organization registered as a community/retail pharmacy in Carlisle, Iowa and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Michael Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1912956020
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRX HOLDINGS LLC
Location Address800 SCHOOL STCarlisle, IA 50047-9716
Mailing Address800 School StCarlisle, IA 50047-9716 · (515) 989-3261 · Fax (515) 989-4140
Phone(515) 989-3261
Fax(515) 989-4140
Organization SubpartNo
Authorized OfficialMichael FullerPresident · (515) 321-7644
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 17, 20245 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1912956020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IA · 425
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
800 SCHOOL ST, Carlisle, IA 50047
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicap Pharmacy

Other Identifiers 1

Other1619569IA · 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 16D1055792

Medicap Pharmacy · Carlisle, IA
Active · expires Jun 26, 2028
CLIA Number16D1055792
Laboratory TypePharmacy
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorEric Rauch
Laboratory Phone(515) 989-3261
Laboratory LocationMedicap Pharmacy800 School Street, Carlisle, IA 50047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services79 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
46 services46 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
31 services31 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Medicap Pharmacy carries, from the Medicare DMEPOS supplier directory.

Medicap Pharmacy

DMEPOS supplier · Carlisle, IAOperated by Grx Holdings, LLC
⋮

Does not accept Medicare assignment

Medicap Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20558063
Medicare Participant SinceMay 1, 2008
Supplier Location800 School StCarlisle, IA 50047
Phone(515) 989-3261
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

MRS. PAMELA TRASK GOODE PHARMD
Pharmacist
800 SCHOOL ST
CARLISLE, IA 50047
Warren County (515) 989-3261
KRISTIN STOPULOS
Pharmacist
800 SCHOOL ST
CARLISLE, IA 50047
Warren County (515) 989-3261

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 1912956020. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Medicap Pharmacy.

Where is Grx Holdings LLC located?

Grx Holdings LLC is located at 800 School St, Carlisle, IA 50047. The listed phone number is (515) 989-3261.

What is Grx Holdings LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Grx Holdings LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Medicap Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Grx Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1055792) is associated with this NPI, valid through June 26, 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 49 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 with the weekly NPPES data releases published by CMS.