Grove Professional Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

003203 Issued in MO

Legal business name

GROVE PROFESSIONAL PHARMACY INC.

Doing business as

Grove Pharmacy

Practice address

3050 S National Ave, Ste 109
Springfield, MO 65804

Phone

(417) 881-2910

Fax

(417) 881-3014

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Gary Grove

Title

Pres

Phone

(417) 881-2910

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grove Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1366524159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 S GLENSTONE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-881-2910",
            "fax_number": "417-890-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE, STE 109",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-881-2910",
            "fax_number": "417-881-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE PROFESSIONAL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "417-881-2910"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "003203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600309801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Grotts
• Shobi Jeanne Grotts
• Grove Pharmacy Home Infusion
• Grove Professional Pharmacy Inc (Grove Pharmacy South)
• Grove Professional Pharmacy Inc (Grove Professional Pharmacy Inc dba Grove Spa)
• Jennifer Grove, PHARM.D
• Amy C. Grover, PA-C
• Andrew Groves, PSYD
• Brittany Rachelle Groves, LLC
• Hannah Groves

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.

Verify at the official NPI Registry.