Rose Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PD12030 Issued in AR

Legal business name

ROSE PHARMACY, LLC

Practice address

1003 N 6TH St
Blytheville, AR 72315-1707

Phone

(870) 740-7479

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

John Charles Rose Jr., PHARM.DNPI 1720451859

Title

RPH/Owner

Phone

(870) 740-7479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Charles Rose Jr., PHARM.D

  • Pharmacist
  • Blytheville, AR
  • NPI 1720451859
  NPD Authorized official

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1982078887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 EASTGATE ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151208",
            "telephone_number": "870-740-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151707",
            "telephone_number": "870-740-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "870-740-7479",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "PD12030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Monique Richmond
• Hillary Ritchey, MCD, CCC-SLP
• Robbie Robinson, LPC
• Hannah Rogers
• Ronald D Smith MD PA
• Brittany Rose, NP-C
• John Charles Rose Jr., PHARM.D
• Pamela Joyce Ross
• Rothrock Drug Company Inc
• Sommer Rucker, RN

• Community/Retail Pharmacy in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.