Organization Active NPI

J D Pharmacy Inc

Doing business as Grove Apothecary

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1649384611
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020541 Issued in NY
Legal business name
J D PHARMACY INC
Doing business as
Grove Apothecary
Practice address
302 W 12TH St
New York, NY 10014-6025
Phone
(212) 929-7527
Fax
(212) 229-0731
NPI assigned
Aug 18, 2006
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Shobha Patel
Title
President
Phone
(212) 929-7527

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020541 NY Primary

Addresses

Primary practice location

302 W 12TH St
New York, NY 10014-6025

Mailing address

302 W 12TH St
New York, NY 10014-6025
Phone (212) 929-7527

Other identifiers 3

IdentifierTypeStateIssuer
01169319MedicaidNY
020541OtherNYNEW YORK STATE BOARD OF PHARMACY
3304716OtherNCPDP

Other names 1

  • Grove Apothecary Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@groveapothecary.co Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930015060 NY DME Supplier - Pharmacy 8628198397 Practice locations: New York, NY
O20161205000755 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8628198397 Practice locations: New York, NY
O20220325000143 NY Part B Supplier - Pharmacy 8628198397 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Grove Apothecary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

302 W 12th St
Frnt 1
New York, NY 10014
Phone (212) 929-7527

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1649384611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146025",
            "telephone_number": "212-929-7527",
            "fax_number": "212-229-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146025",
            "telephone_number": "212-929-7527",
            "fax_number": "212-229-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J D PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-929-7527"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01169319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD OF PHARMACY",
            "identifier": "020541",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3304716",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@groveapothecary.co",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "302 W 12th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100146025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grove Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.