Organization Active NPI

Rosehill Pharmacy Corp

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1023658135
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROSEHILL PHARMACY CORP
Practice address
392B Bedford Park Blvd
Bronx, NY 10458-2415
Phone
(718) 684-8865
NPI assigned
Jan 7, 2020
Last updated
Jan 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Babakhanov
Title
President
Phone
(718) 684-8864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

392B Bedford Park Blvd
Bronx, NY 10458-2415

Mailing address

392B Bedford Park Blvd
Bronx, NY 10458-2415
Phone (718) 684-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210309001178 NY DME Supplier - Pharmacy 0345656880 Practice locations: Bronx, NY
O20240906000323 NY Part B Supplier - Pharmacy 0345656880 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Rosehill Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

392B Bedford Park Blvd
Bronx, NY 10458
Phone (718) 684-8864

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1023658135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392B BEDFORD PARK BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582415",
            "telephone_number": "718-684-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392B BEDFORD PARK BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582415",
            "telephone_number": "718-684-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEHILL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "BABAKHANOV",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-684-8864"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.

Verify at the official NPI Registry.