Active NPI
Grove RX Inc
- Long Term Care Pharmacy
- Pasadena, CA
National Provider Identifier
1679046775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GROVE RX INC
- Practice address
- 655 N Fair Oaks Ave
Pasadena, CA 91103-3383 - Phone
- (626) 390-4011
- Fax
- (626) 640-3072
- NPI assigned
- Jan 10, 2019
- 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
- Arman Pogossian
- Title
- President/Ceo
- Phone
- (626) 390-4011
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
655 N Fair Oaks Ave
Pasadena, CA 91103-3383
Mailing address
655 N Fair Oaks Ave
Pasadena, CA 91103-3383
Phone (626) 390-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY59158 | Other | CA | BOARD OF PHARMACY |
Other names 1
- GROVE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210520001097 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517366735 | Practice locations: Pasadena, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1679046775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033383",
"telephone_number": "626-390-4011",
"fax_number": "626-640-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033383",
"telephone_number": "626-390-4011",
"fax_number": "626-640-3072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-10",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "POGOSSIAN",
"authorized_official_first_name": "ARMAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "626-390-4011"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY59158",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GROVE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.