Active NPI
J D Pharmacy Inc
Doing business as Grove Apothecary
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1649384611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 020541
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01169319 | Medicaid | NY | |
| 020541 | Other | NY | NEW YORK STATE BOARD OF PHARMACY |
| 3304716 | Other | NCPDP |
Other names 1
- Grove Apothecary
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@groveapothecary.co | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Apothecary
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.
-
- Pharmacist
- New York, NY
- NPI 1437204708
-
- Pharmacist
- New York, NY
- NPI 1447306659
-
- Pharmacist
- New York, NY
- NPI 1497935084
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.