Provider Demographics
NPI:1851412225
Name:GROVES, ERIK STEVEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:STEVEN
Last Name:GROVES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 HUDSON ST APT G6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2855
Mailing Address - Country:US
Mailing Address - Phone:859-552-4374
Mailing Address - Fax:
Practice Address - Street 1:542-576 SECOND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2703
Practice Address - Country:US
Practice Address - Phone:212-213-9887
Practice Address - Fax:212-213-4444
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist