Active NPI
Grove Pharmacy Limited Liability Company
- Community/Retail Pharmacy
- Montclair, NJ
National Provider Identifier
1245248087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00723700
- Legal business name
- GROVE PHARMACY LIMITED LIABILITY COMPANY
- Doing business as
- Grove Pharmacy
- Practice address
- 123 Grove St
Montclair, NJ 07042-4021 - Phone
- (973) 744-5550
- Fax
- (973) 744-1340
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rikit Patel
- Title
- Managing Member
- Phone
- (973) 744-5550
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00723700 | NJ | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
123 Grove St
Montclair, NJ 07042-4021
Mailing address
123 Grove St
Montclair, NJ 07042-4021
Phone (973) 744-5550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0375195 | Medicaid | NJ | |
| 2138725 | Other | PK |
Other names 1
- Grove Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130712000225 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284889841 | Practice locations: Montclair, NJ |
National Provider Directory
National Provider DirectoryLocations
123 Grove St
Montclair, NJ 07042
Phone (973) 744-0030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Middlesex, NJ
- NPI 1659604957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1245248087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GROVE ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424021",
"telephone_number": "973-744-5550",
"fax_number": "973-744-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 GROVE ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424021",
"telephone_number": "973-744-5550",
"fax_number": "973-744-1340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE PHARMACY LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RIKIT",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "973-744-5550"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00723700",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0375195",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2138725",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grove Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grove Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.