Active NPI
Roses Pharmacy LLC
- Community/Retail Pharmacy
- Marrero, LA
National Provider Identifier
1083197248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hong Tran, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206591 | Medicaid | LA |
Other names 1
- Roses Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Pharmacist
- Marrero, LA
- NPI 1124332713
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.