GRX HOLDINGS, LLC
NPI: 1134647100
· ANKENY, IA 50021
· Long Term Care Pharmacy
· NPI assigned 08/30/2017
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official FULLER, MICHAEL controls 20+ related entities in our dataset. Read more
Provider Details
| Authorized Official | FULLER, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 08/30/2017 |
Related Entities
Other providers sharing the same authorized official: FULLER, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
240 |
$7K |
| 2022 |
15 |
$66.17 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
45 |
45 |
$2K |
| 0071A |
|
39 |
39 |
$2K |
| 0012A |
|
45 |
45 |
$2K |
| 0002A |
|
16 |
16 |
$600.00 |
| 0072A |
|
15 |
15 |
$560.00 |
| 0064A |
|
14 |
13 |
$520.00 |
| 0001A |
|
14 |
14 |
$520.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$66.17 |
| 91301 |
|
52 |
51 |
$0.00 |