Organization Active NPI

Roses Pharmacy LLC

  • Community/Retail Pharmacy
  • Marrero, LA
National Provider Identifier
1083197248
Registry record updated Dec 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROSES PHARMACY LLC
Doing business as
Roses Pharmacy
Practice address
4704 4TH St
Marrero, LA 70072-1905
Phone
(504) 301-2900
Fax
(504) 266-2500
NPI assigned
Sep 12, 2018
Organization subpart
Yes
Parent organization
ROSES PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2022

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

Authorized official

Name
Dr. Hong Tran, PHARMDNPI 1124332713
Title
Owner
Phone
(504) 319-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4704 4TH St
Marrero, LA 70072-1905

Mailing address

4704 4TH St
Marrero, LA 70072-1905
Phone (504) 301-2900

Other identifiers 1

IdentifierTypeStateIssuer
2206591MedicaidLA

Other names 1

  • Roses Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181212001645 LA Part B Supplier - Mass Immunization (Roster Biller Only) 2668716044 Practice locations: Marrero, LA

National Provider Directory

National Provider Directory
Part of
Roses Pharmacy LLC

Locations

4704 4th St
Marrero, LA 70072
Phone (504) 301-2900

Practitioners & affiliated clinicians

Practitioners 1

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": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672444800000",
    "number": "1083197248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 4TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721905",
            "telephone_number": "504-301-2900",
            "fax_number": "504-266-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 4TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721905",
            "telephone_number": "504-301-2900",
            "fax_number": "504-266-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSES PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSES PHARMACY LLC",
        "enumeration_date": "2018-09-12",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-319-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roses Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; 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.