NPIMap

Organization Active NPI

Grove Pharmacy Home Infusion

  • Pharmacy
  • Springfield, MO
National Provider Identifier
1407939416
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
005915 Issued in MO
Legal business name
GROVE PHARMACY HOME INFUSION
Practice address
1522 E Sunshine St
Springfield, MO 65804-1214
Phone
(417) 881-2910
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 005915 MO Primary

Addresses

Primary practice location

1522 E Sunshine St
Springfield, MO 65804-1214

Mailing address

1522 E Sunshine St
Springfield, MO 65804-1214

Other identifiers 2

IdentifierTypeStateIssuer
2630564OtherOTHER ID NUMBER-COMMERCIAL NUMBER
608202503MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Grove Pharmacy Home Infusion3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1407939416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041214",
            "telephone_number": "417-881-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE PHARMACY HOME INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-08-13",
        "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": "MO",
            "license": "005915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2630564",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608202503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.