Elli Reyes-Grote, RPH

Individual provider Active NPI Pharmacist · Fort Monmouth, NJ

NPI 1124018197 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1124018197
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
3524 (RI)
Practice address
1075 Stephenson Ave
Fort Monmouth, NJ 07703
Phone
(732) 532-2551
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3524RIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3524 RI Yes

Addresses

Primary practice location

1075 Stephenson Ave
Fort Monmouth, NJ 07703

Mailing address

PO Box 868
Matawan, NJ 07747-0868
Phone (732) 441-1006

Other providers in Fort Monmouth, NJ

All providers in Fort Monmouth, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.