Active NPI
Simfa Rose Pharmaceutical Specialty Inc
Doing business as Simfarose Pharmacy
- Specialty Pharmacy
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PH23014
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010230 | Other | PK | |
| 03239000 | Medicaid | FL |
Other names 1
- SIMFAROSE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Simfa Rose Pharmaceutical Specialty | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rose Nursing Pharmacy Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Pembroke Pines, FL
- NPI 1568306611
-
dba Rose Pharmacy
- Long Term Care Pharmacy
- Pembroke Pines, FL
- NPI 1609693191
-
- Specialty Pharmacy
- Pembroke Pines, FL
- NPI 1659793859
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.
-
- Pharmacotherapy Pharmacist
- Pembroke Pines, FL
- NPI 1861498842
-
- Pharmacist
- Pembroke Pines, FL
- NPI 1013699685
-
- Pharmacy Technician
- Pembroke Pines, FL
- NPI 1114321254
-
- Pharmacist
- Pembroke Pines, FL
- NPI 1578014965
-
- Pharmacy Technician
- Miami Shores, FL
- NPI 1659775781
-
- Pharmacy Technician
- Pembroke Pines, FL
- NPI 1639573777
-
- Pharmacy Technician
- Pembroke Pines, FL
- NPI 1134509805
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.