SOUTH GATE ROSE PHCY INC (NPI# 1396756805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396756805 |
| Entity Type | Organization |
| Organization Name | SOUTH GATE ROSE PHCY INC |
| Other Organization Name | BLUE ROSE PHARMACY |
| Practice Address |
8615 Knott Ave Ste 7 Buena Park CA 90620-3841 |
| Practice Telephone | 7149524978 |
| Practice Fax Number | 7149536868 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAVIER ZAMORA (CFO) |
| Authorized Official Telephone | 7143503009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47605 | CA | Suppliers |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5622990 | 01 |
| Other Name | Type Code |
|---|---|
| BLUE ROSE PHARMACY | Doing Business As Name - Organization |
| Street Address |
8615 KNOTT AVE STE 7 |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90620-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255672713 | Hana Medical Group Inc | Non-Pharmacy Dispensing Site | 8615 Knott Ave, Suite 3, Buena Park, CA 90620-3841 | 2013-03-08 |
| 1912022641 | Leonidas A Johnson | Optometrist | 8615 Knott Ave, Suite 9, Buena Park, CA 90620-3800 | 2007-03-20 |
| 1043358211 | Maria Lovell Degoma Denolo-chavez | Dentist | 8615 Knott Ave, Suite 1, Buena Park, CA 90620-3841 | 2007-02-01 |
| 1497819346 | Kirstin Walsh | Occupational Therapist | 8615 Knott Ave, Suite 8, Buena Park, CA 90620-3841 | 2006-12-21 |
| 1932263878 | Allan Bautista | Physical Therapist | 8615 Knott Ave, Suite 8, Buena Park, CA 90620-3841 | 2006-12-21 |
| 1235293176 | Gail Ballon | Physical Therapist | 8615 Knott Ave, Suite 8, Buena Park, CA 90620-3841 | 2006-12-21 |
| 1528144664 | Southgate Rose Pharmacy Inc | Clinic/Center | 8615 Knott Ave, Suite #7, Buena Park, CA 90620-3841 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889110 | Soon Ae Yoon | Acupuncturist | 8600 Beach Blvd. #104, Buena Park, CA 90620 | 2019-12-27 |
| 1649755380 | Rosemary Lynn Nielsen | Social Worker | 1850 Knott Ave, Buena Park, CA 90620 | 2018-09-28 |
| 1730608118 | Arpita Bhavsar | Pharmacist | 7072 Santa Marta Circle, Buena Park, CA 90620 | 2017-09-16 |
| 1740715663 | Gabriela Peinado | Assistant Behavior Analyst | 8669 Holder St, Buena Park, CA 90620 | 2017-04-28 |
| 1679958862 | Aum Pharmacy Corporation | Pharmacy | 6970 Aragon Circle, # 3, Buena Park, CA 90620 | 2015-07-29 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| 1942531447 | Baltazar Mendoza | Dental Assistant | 7691 El Chaco Drive, Buena Park, CA 90620 | 2010-01-22 |
| 1760509947 | Marcela Torralba Espiritu | Dentist | 7540 Orangethorpe Ave, C4, Buena Park, CA 90620 | 2007-03-23 |
| 1508924457 | Randall Tay Kanemaki | Dentist | 8751 Valley View Street, Suite B, Buena Park, CA 90620 | 2006-12-04 |
| 1346338282 | J and P Homes Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6891 San Pedro Circle, Buena Park, CA 90620 | 2006-10-10 |
| Find all providers in zip 90620 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618087 | Medavail Pharmacy Inc. | Pharmacy | 6800 Orangethorpe Ave Ste D, Buena Park, CA 90620-1366 | 2020-01-13 |
| 1841751856 | Bp Pharmacy, Inc. | Pharmacy | 6726 Beach Blvd, Buena Park, CA 90621-3410 | 2019-03-31 |
| 1508337510 | Wise Care Pharmacy Inc | Pharmacy | 8980 Knott Ave, Buena Park, CA 90620-4137 | 2018-12-17 |
| 1184052037 | Earth Village Pharmacy Inc | Pharmacy | 5161 Beach Blvd, Unit #c, Buena Park, CA 90621-1171 | 2013-10-30 |
| 1902944648 | Beach Medical Rx Inc | Pharmacy | 5230 Beach Boulevard, Buena Park, CA 90621-1230 | 2007-02-02 |
| 1619075108 | Garfield Beach Cvs LLC | Pharmacy | 7065 La Palma Ave, Buena Park, CA 90620-2424 | 2006-09-20 |
| 1568407450 | Garfield Beach Cvs LLC | Pharmacy | 8850 Valley View St, Buena Park, CA 90620-3562 | 2006-06-17 |
| 1508901133 | Bestcare Pharmacy Inc | Pharmacy | 5317 Beach Blvd, Buena Park, CA 90621-1231 | 2007-02-21 |
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| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90620 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.