Organization Active NPI

Rosebank Pharmacy LLC

Doing business as Rosebank Pharmacy

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1205914710
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032402 Issued in NY
Legal business name
ROSEBANK PHARMACY LLC
Doing business as
Rosebank Pharmacy
Practice address
500 Tompkins Ave
Staten Island, NY 10305-1743
Phone
(718) 727-0426
Fax
(718) 816-1803
NPI assigned
Nov 1, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 032402 NY Primary

Addresses

Primary practice location

500 Tompkins Ave
Staten Island, NY 10305-1743

Mailing address

500 Tompkins Ave
Staten Island, NY 10305-1743
Phone (718) 727-0426

Other names 1

  • Rosebank Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141015001823 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8628299609 Practice locations: Staten Island, NY
O20141218001705 NY DME Supplier - Pharmacy 8628299609 Practice locations: Staten Island, NY
O20201030001469 NY Part B Supplier - Pharmacy 8628299609 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1205914710",
    "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": "103051743",
            "telephone_number": "718-727-0426",
            "fax_number": "718-816-1803"
        },
        {
            "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": "103051743",
            "telephone_number": "718-727-0426",
            "fax_number": "718-816-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBANK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SAYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-727-0426"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebank Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2026; 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.