Organization Active NPI

Groves Pharmacy

  • Community/Retail Pharmacy
  • Sweet Home, OR
National Provider Identifier
1104920164
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GROVES PHARMACY
Practice address
1301 Main St
Sweet Home, OR 97386-1611
Phone
(541) 367-2149
Fax
(541) 367-3450
NPI assigned
Sep 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronnie Hill
Title
Owner
Phone
(841) 367-2149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP0000556CS OR
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1301 Main St
Sweet Home, OR 97386-1611

Mailing address

1301 Main St
Sweet Home, OR 97386-1611

Other identifiers 2

IdentifierTypeStateIssuer
165631MedicaidOR
3805100OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

1301 Main St
Sweet Home, OR 97386
Phone (541) 367-2149

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104920164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973861611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973861611",
            "telephone_number": "541-367-2149",
            "fax_number": "541-367-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "841-367-2149"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000556CS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165631",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3805100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Home, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.