Organization Active NPI

Rose RX LLC

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
National Provider Identifier
1316663552
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ROSE RX LLC
Practice address
7530 103Rd St Ste 4
Jacksonville, FL 32210-6786
Phone
(904) 577-4888
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Abreonta MangoNPI 1750007068
Title
Provider
Phone
(904) 577-4888

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

7530 103Rd St Ste 4
Jacksonville, FL 32210-6786

Mailing address

8675 Victoria Falls Dr FL 32244
Jacksonville, FL 32244-3741
Phone (904) 577-4888

National Provider Directory

National Provider Directory

Locations

7530 103rd St
Ste 4
Jacksonville, FL 32210
Phone (904) 577-4888

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": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1316663552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 VICTORIA FALLS DR FL 32244",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443741",
            "telephone_number": "904-577-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 103RD ST STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106786",
            "telephone_number": "904-577-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "MANGO",
        "authorized_official_first_name": "ABREONTA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "904-577-4888"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.