Organization Active NPI

Rose City Pharmacy LLC

Doing business as Rose City Pharmacy

  • Community/Retail Pharmacy
  • Thomasville, GA
National Provider Identifier
1871093328
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010502 Issued in GA
Legal business name
ROSE CITY PHARMACY LLC
Doing business as
Rose City Pharmacy
Practice address
616 S Broad St
Thomasville, GA 31792-5551
Phone
(229) 233-7733
Fax
(229) 233-8035
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
William ElkinsNPI 1740352731
Title
Manager
Phone
(229) 327-6962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE010502 GA Primary

Addresses

Primary practice location

616 S Broad St
Thomasville, GA 31792-5551

Mailing address

616 S Broad St
Thomasville, GA 31792-5551
Phone (229) 233-7733

Other identifiers 1

IdentifierTypeStateIssuer
2176861OtherPK

Other names 1

  • Rose City Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180913003083 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3971853359 Practice locations: Thomasville, GA

National Provider Directory

National Provider Directory

Locations

616 S Broad St
Thomasville, GA 31792
Phone (229) 226-7812

Practitioners & affiliated clinicians

Practitioners 3

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": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871093328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925551",
            "telephone_number": "229-233-7733",
            "fax_number": "229-233-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925551",
            "telephone_number": "229-233-7733",
            "fax_number": "229-233-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-327-6962"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.