Organization Active NPI

Rosalise Pharmacy Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1336535863
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033480 Issued in NY
Legal business name
ROSALISE PHARMACY CORP
Doing business as
Rosalise pharmacy
Practice address
3355 Broadway
New York, NY 10031-7402
Phone
(212) 690-6502
Fax
(646) 838-6985
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Rosangela Perez
Title
Owner
Phone
(212) 690-6502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033480 NY Primary

Addresses

Primary practice location

3355 Broadway
New York, NY 10031-7402

Mailing address

3355 Broadway
New York, NY 10031-7402
Phone (212) 690-6502

Other identifiers 1

IdentifierTypeStateIssuer
033480OtherNYNYS PHARMACY LICENSE

Other names 1

  • Rosalise pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3350 Broadway
New York, NY 10031
Phone (212) 690-6502

3355 Broadway
New York, NY 10031
Phone (212) 690-6502

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1336535863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317402",
            "telephone_number": "212-690-6502",
            "fax_number": "646-838-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317402",
            "telephone_number": "212-690-6502",
            "fax_number": "646-838-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALISE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROSANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-690-6502"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PHARMACY LICENSE",
            "identifier": "033480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosalise pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosalise pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.