ROSA PHARMACY, INC. , NPI 1851376834 — NEW YORK (NY)

NPI 1851376834

14+ Years Experience Organization

ROSA PHARMACY, INC.

12/13/2005
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1851376834
NPI NUMBER

About ROSA PHARMACY, INC.

ROSA PHARMACY, INC. is a provider established in NEW YORK, NY. The NPI number of ROSA PHARMACY, INC. is 1851376834 and was assigned on 12/13/2005. The practitioners primary taxonomy code is: 3336C0003X with license number: 25087 NY .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100403303
  • Phone: 2129232412
  • Fax: 2129230410
  • Address: 1603 SAINT NICHOLAS AVE

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1851376834
  • Phone : 2129232412
  • Fax : 2129230410
  • Postalcode : 100403303
  • Address : 1603 SAINT NICHOLAS AVE

Additional identifiers

  • Identifier: 2173417
  • Code / Type : 5 - MEDICAID
  • Identifier state : NY

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 3339947
  • Code / Type : 1 - other
  • Identifier state : NY
  • Identifier issuer : NCPDP

Provider taxonomy - Pharmacy

  • Taxonomy code: 3336C0003X
  • License number: 25087
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Contacts:

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  • ROSA PHARMACY, INC.
  • Address : 1603 SAINT NICHOLAS AVE
  • Region : NEW YORK, NY
  • NPI : 1851376834
  • Phone : 2129232412
  • Fax : 2129230410
  • Postalcode : 100403303

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 3479926771
  • Title or position : PRESIDENT

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1603 SAINT NICHOLAS AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100403303
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2129232412
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2129230410
The fax number associated with the location address of the provider being identified.
NPI1851376834
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 13336C0003X
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider Enumeration Date12/13/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ROSA PHARMACY, INC.
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1603 SAINT NICHOLAS AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100403303
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2129232412
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2129230410
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameARIAS
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameGUSTAVO
The first name of the authorized official
Authorized Official Middle NameADOLFO
The middle name of the authorized official
Authorized Official Title or PositionPRESIDENT
The title or position of the authorized official
Authorized Official Name Prefix TextMR.
Authorized Official Name Prefix Text
Authorized Official Telephone Number3479926771
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #13336C0003X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider License Number 125087
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 12173417
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1NY
Other Provider Identifier State #1
Other Provider Identifier 23339947
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2NY
Other Provider Identifier State #2
Other Provider Identifier Issuer 2NCPDP
Other Provider Identifier Issuer #2
X

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