Organization Active NPI

Golden Rose Pharmacy Inc.

  • Long Term Care Pharmacy
  • Roseville, CA
National Provider Identifier
1922708684
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GOLDEN ROSE PHARMACY INC.
Practice address
4070 Baseline Rd Ste 110
Roseville, CA 95747-6489
Phone
(925) 339-5826
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Fariba Clapper, PHARMDNPI 1073081840
Title
Ceo & Pharmacist-in-Charge
Phone
(925) 339-5826

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4070 Baseline Rd Ste 110
Roseville, CA 95747-6489

Mailing address

4070 Baseline Rd Ste 110
Roseville, CA 95747-6489
Phone (925) 339-5826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927001489 CA Part B Supplier - Pharmacy 3577917319 Practice locations: Roseville, CA

National Provider Directory

National Provider Directory
Tax ID family
Golden Rose Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1922708684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 BASELINE RD STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476489",
            "telephone_number": "925-339-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BASELINE RD STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476489",
            "telephone_number": "925-339-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ROSE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "CLAPPER",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "CEO & PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "925-339-5826",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.