Jessica Reanne Groves, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

61002061 Issued in WA

Practice address

1401 Galaxy Dr NE
Lacey, WA 98516-4746

Phone

(360) 456-7862

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1336785047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 NE DYNASTY DR",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983705505",
            "telephone_number": "970-630-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GALAXY DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164746",
            "telephone_number": "360-456-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "JESSICA",
        "middle_name": "REANNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0022886",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61002061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry S Griffith III, MD
• Barbara Rose Grigsby, LMP
• Anthony Grillo, M.D.
• Anke Ulrike Grimsley, LMP
• Lynn Grotsky, LICSW
• Growing Edges Therapy PLLC
• Raymond John Guerra Jr.
• Ramona Guffey
• Timothy Ray Gullick, M.S., BCBA
• William Adam Gundel, LMP

• Pharmacist in Lacey, WA
• Providers in Lacey, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.