Active NPI
Rose Bros Inc
- Community/Retail Pharmacy
- Plantation, FL
National Provider Identifier
1992833867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH7015
- Legal business name
- ROSE BROS INC
- Practice address
- 100 NW 82ND Ave Ste 406
Plantation, FL 33324-1835 - Phone
- (954) 472-7244
- Fax
- (954) 472-7278
- NPI assigned
- Mar 1, 2007
- Organization subpart
- Yes
- Parent organization
- ROSE BROS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Saji Samuel
- Title
- President
- Phone
- (954) 472-7244
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH7015 | FL | Primary |
Addresses
Primary practice location
100 NW 82ND Ave Ste 406
Plantation, FL 33324-1835
Mailing address
100 NW 82ND Ave
Suite 406
Plantation, FL 33324-7809
Phone (954) 472-7244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH 7015 | Other | FL | PHARMACY LICENSE |
Other names 1
- Medwise Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211201000654 | FL | Part B Supplier - Pharmacy | 6507256831 | Practice locations: Plantation, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Rose Bros Inc
- Part of
- Rose Bros Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Plantation, FL
- NPI 1528772365
Networks
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
- Freedom Health HMO Network
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Long Term Care Pharmacy
- Plantation, FL
- NPI 1528772365
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Plantation, FL
- NPI 1558756973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1992833867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 82ND AVE",
"address_2": "SUITE 406",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247809",
"telephone_number": "954-472-7244",
"fax_number": "954-472-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 82ND AVE STE 406",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241835",
"telephone_number": "954-472-7244",
"fax_number": "954-472-7278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE BROS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROSE BROS INC",
"enumeration_date": "2007-03-01",
"last_updated": "2023-03-07",
"certification_date": "2023-01-10",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "SAJI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-472-7244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH7015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PH 7015",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medwise Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.