NMMB Enterprise LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NMMB ENTERPRISE LLC

Doing business as

Rose Pharmacy and Boutique Apothecary

Practice address

20035 Jetton Rd Ste B
Cornelius, NC 28031-8277

Phone

(704) 255-6172

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Roseborough Eastman, PHARM D

Title

Pharmacist/ Owner

Phone

(704) 255-6172

Specialties & licenses 2

Addresses

Other names 1

• Rose Pharmacy and Boutique Apothecary Doing business as

Locations

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1942947460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 BETHEL CHURCH RD STE 103-215",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314072",
            "telephone_number": "704-578-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20035 JETTON RD STE B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318277",
            "telephone_number": "704-255-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMMB ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ROSEBOROUGH",
        "authorized_official_title_or_position": "PHARMACIST/ OWNER",
        "authorized_official_telephone_number": "704-255-6172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Pharmacy and Boutique Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rose Pharmacy and Boutique Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.