Active NPI
Kacey L Grove
- Pharmacist
- York, PA
National Provider Identifier
1770188385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP440077
- Practice address
- 116 S George St
York, PA 17401-1474 - Phone
- (717) 801-4846
- Fax
- (717) 854-0377
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- 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 | RP440077 | PA | Primary |
Addresses
Primary practice location
116 S George St
York, PA 17401-1474
Mailing address
116 S George St
York, PA 17401-1474
Phone (717) 801-4846
Other practice location 1
1700 N George St
York, PA 17404-1807
Phone (717) 848-6212
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 |
|---|---|---|---|
| RP440077 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- York, PA
- NPI 1457455289
-
- Pharmacy
- West Chester, PA
- NPI 1639063571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1770188385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-801-4846",
"fax_number": "717-854-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-801-4846",
"fax_number": "717-854-0377"
}
],
"practiceLocations": [
{
"address_1": "1700 N George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174041807",
"country_code": "US",
"telephone_number": "717-848-6212",
"fax_number": "717-848-4610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVE",
"first_name": "KACEY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP440077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.