Organization Active NPI

Rosa Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1407001068
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26239 Issued in TX
Legal business name
ROSA PHARMACY
Practice address
10915 Scarsdale Blvd
Houston, TX 77089
Phone
(281) 481-6602
Fax
(281) 464-3115
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Xuan Dung Dinh
Title
Owner
Phone
(346) 804-9761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26239 TX Primary

Addresses

Primary practice location

10915 Scarsdale Blvd
Houston, TX 77089

Mailing address

10915 Scarsdale Blvd
Houston, TX 77089
Phone (281) 481-6602

Other identifiers 2

IdentifierTypeStateIssuer
145975MedicaidTX
2117939OtherPK

Other names 2

  • PD & SONS, LLC Doing business as
  • Rosa Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210002912 TX Part B Supplier - Pharmacy 4385059021 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Family Biocare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11002 Scarsdale Blvd
Ste A
Houston, TX 77089
Phone (281) 481-6602

10915 Scarsdale Blvd
Houston, TX 77089
Phone (281) 481-6602

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1407001068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 SCARSDALE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77089",
            "telephone_number": "281-481-6602",
            "fax_number": "281-464-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 SCARSDALE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77089",
            "telephone_number": "281-481-6602",
            "fax_number": "281-464-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "XUAN",
        "authorized_official_middle_name": "DUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-804-9761"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145975",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PD & SONS, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.