Active NPI
Robert Bennett Grove, PHARMACIST
- Pharmacist
- Chandler, AZ
National Provider Identifier
1477146280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- SO8469
- Practice address
- 4940 S Gilbert Rd
Chandler, AZ 85249-4552 - Phone
- (480) 883-2241
- Fax
- (480) 883-2243
- NPI assigned
- Feb 12, 2021
- Last updated
- Feb 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | SO8469 | AZ | Primary |
Addresses
Primary practice location
4940 S Gilbert Rd
Chandler, AZ 85249-4552
Mailing address
1631 W Prescott Dr
Chandler, AZ 85248-4843
Phone (480) 452-2466
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rx161@bashas.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO8469 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1477146280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 W PRESCOTT DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484843",
"telephone_number": "480-452-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 S GILBERT RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852494552",
"telephone_number": "480-883-2241",
"fax_number": "480-883-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "ROBERT",
"middle_name": "BENNETT",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "SO8469",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rx161@bashas.com",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4940 S Gilbert Rd",
"city": "Chandler",
"state": "AZ",
"country_code": "US",
"postal_code": "852494552",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.