Organization Active NPI

Simfa Rose Pharmaceutical Specialty Inc

Doing business as Simfarose Pharmacy

  • Specialty Pharmacy
  • Pembroke Pines, FL
National Provider Identifier
1598945404
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH23014 Issued in FL
Legal business name
SIMFA ROSE PHARMACEUTICAL SPECIALTY INC
Doing business as
Simfarose Pharmacy
Practice address
10016 Pines Blvd
Pembroke Pines, FL 33024-6137
Phone
(954) 435-7200
Fax
(954) 438-1030
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Suzette Bonanno, PHRMD
Title
President
Phone
(954) 435-7200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X PH23014 FL Primary

Addresses

Primary practice location

10016 Pines Blvd
Pembroke Pines, FL 33024-6137

Mailing address

10016 Pines Blvd
Pembroke Pines, FL 33024-6137
Phone (954) 435-7200

Other identifiers 2

IdentifierTypeStateIssuer
2010230OtherPK
03239000MedicaidFL

Other names 1

  • SIMFAROSE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101019000076 FL DME Supplier - Pharmacy 0143413567 Practice locations: Pembroke Pines, FL
O20160817002202 FL Part B Supplier - Other 0143413567 Practice locations: Pembroke Pines, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Simfa Rose Pharmaceutical Specialty10016 Pines Blvd, Pembroke Pines, FL 33024-6137(954) 435-7200 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 31, 2016

National Provider Directory

National Provider Directory
Tax ID family
Rose Nursing Pharmacy Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

10016 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 435-7200

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1598945404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246137",
            "telephone_number": "954-435-7200",
            "fax_number": "954-438-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246137",
            "telephone_number": "954-435-7200",
            "fax_number": "954-438-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMFA ROSE PHARMACEUTICAL SPECIALTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BONANNO",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-435-7200",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH23014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2010230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03239000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMFAROSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SIMFAROSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.