Ivonne de la Rosa

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY36988 Issued in CA

Legal business name

IVONNE DE LA ROSA

Practice address

6039 Florence Ave
Bell Gardens, CA 90201-4727

Phone

(323) 773-6538

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Negda Ivonne De la Rosa, PHARM D

Title

Owner

Phone

(323) 773-6538

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• International Pharmacies Inc

  dba Botica San Martin

  • Community/Retail Pharmacy
  • Pico Rivera, CA
  • NPI 1154433142

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• International Pharmacies Inc

  dba Botica San Martin

  • Community/Retail Pharmacy
  • Pico Rivera, CA
  • NPI 1154433142

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1609910298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 FLORENCE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014727",
            "telephone_number": "323-773-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 FLORENCE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014727",
            "telephone_number": "323-773-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVONNE DE LA ROSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "NEGDA",
        "authorized_official_middle_name": "IVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-773-6538",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY36988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA369880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zhaojun Huang, NP
• Paulina Angeli Huff
• Human Services Association
• Sally Hwang
• Nancy M Iannotti, RNP-C
• Jae Y. Kim DDS Inc.
• Javier Garcia DDS., Inc (Metropolitan Dental Group)
• Devyn Jennings-Dubuque
• Emily Mary Jimenez
• Vanessa Jimenez

• Pharmacy in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.