Organization Active NPI

Rosebank Pharmacy LLC

  • Long Term Care Pharmacy
  • Staten Island, NY
National Provider Identifier
1073324604
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROSEBANK PHARMACY LLC
Practice address
500 Tompkins Ave
Staten Island, NY 10305-1798
Phone
(718) 727-0426
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Sayed Mohamed
Title
President
Phone
(718) 727-0426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

500 Tompkins Ave
Staten Island, NY 10305-1798

Mailing address

500 Tompkins Ave
Staten Island, NY 10305-1798
Phone (718) 727-0426

National Provider Directory

National Provider Directory

Locations

500 Tompkins Ave
Staten Island, NY 10305
Phone (718) 727-0426

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1073324604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TOMPKINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051798",
            "telephone_number": "718-727-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TOMPKINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051798",
            "telephone_number": "718-727-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBANK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SAYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-727-0426"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.