Healthcare Provider Details

I. General information

NPI: 1366369191
Provider Name (Legal Business Name): REDIRX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E RICH ST STE 660
COLUMBUS OH
43215-5592
US

IV. Provider business mailing address

80 E RICH ST STE 660
COLUMBUS OH
43215-5592
US

V. Phone/Fax

Practice location:
  • Phone: 614-306-9088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KYLE GRIMSLID
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 567-242-8166