Rose Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029002 Issued in NY

Legal business name

ROSE DRUG STORE INC

Practice address

262 E Burnside Ave
Bronx, NY 10457-3724

Phone

(171) 829-1470

NPI assigned

Aug 3, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Osahon Evans ImafidonNPI 1013173632

Title

President

Phone

(718) 812-9654

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osahon Evans Imafidon, PHARMACIST

  • Pharmacist
  • Bronx, NY
  • NPI 1013173632
  NPD Authorized official
• Annette Ann-Marie Brown

  • Pharmacist
  • Bronx, NY
  • NPI 1881458651
  NPD (past)
• Ashley Jeesun Lee, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1932740420
  NPD (past)

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912163536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104573724",
            "telephone_number": "171-829-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104573724",
            "telephone_number": "171-829-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "IMAFIDON",
        "authorized_official_first_name": "OSAHON",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-812-9654",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3358531",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "029002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03044066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yomaira Rosario, NP
• Gabriela Rosas-Garcia, M.D.
• Alexa Rosas, M.S., CCC-SLP, TSSLD
• Glenda Maria Rosas, MD
• Cristina Marie Rosato
• Shari Sandrina Rose Green, LPN
• Rose Hill Psychological Services, PC
• Carol Ann Rose-Trzaska, CNM
• Adam Hart Rose, MD
• Ann Marie Rose

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.