Individual provider Active NPI

Michael Rose, PHARMACIST, RPH

  • Pharmacist
  • Miami, FL
National Provider Identifier
1063916187
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20414 Issued in FL
Practice address
3601 Federal Hwy
Miami, FL 33137-3795
Phone
(786) 476-1005
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20414 FL Primary

Addresses

Primary practice location

3601 Federal Hwy
Miami, FL 33137-3795

Mailing address

1009 NE 26TH Ave
Hallandale Beach, FL 33009-2950
Phone (954) 854-0707

Other practice location 1

3760 NW 126th Ave
Coral Springs, FL 33065-2408
Phone (877) 778-4088

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
20414FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Pharmacy Service LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1063916187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NE 26TH AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092950",
            "telephone_number": "954-854-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "786-476-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 NW 126th Ave",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330652408",
            "country_code": "US",
            "telephone_number": "877-778-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MICHAEL",
        "credential": "PHARMACIST, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "20414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.