Rosebank Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032402 Issued in NY

Legal business name

ROSEBANK PHARMACY LLC

Practice address

500 Tompkins Ave
Staten Island, NY 10305-1743

Phone

(718) 727-0426

Fax

(718) 816-1803

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Florence Levine, BS, MPANPI 1669795688

Title

Supervising Pharmacist/Owner

Phone

(917) 213-6931

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rosebank Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Practitioners 4

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

• Florence Levine, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1669795688
  NPD Authorized official
• April M Camarda

  • Pharmacist
  • Staten Island, NY
  • NPI 1477870566
  NPD (past)
• Paul Louis Mattiola, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1205938990
  NPD (past)
• Emilie Rose Spino, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1861969446
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "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": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST/OWNER",
        "authorized_official_telephone_number": "917-213-6931",
        "authorized_official_credential": "BS, MPA"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04128465",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebank Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ralph Rosato, D.M.D.
• Oana C Rosca, M.D.
• Rose Mary Sokolow Collette
• Allison Christine Rose, MSPED
• Rosebank Pharmacy LLC
• Frank M. Rosell, MD
• Evan Michael Rosen, CASAC-T
• Philip C. Rosen, DMD
• Taylor Rosen, PA-C
• Gila Rosenbaum, OTR/L

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.