SOUTH GATE ROSE PHCY INC NPI 1396756805

NPI Information

  • NPI: 1396756805
  • Provider Name: SOUTH GATE ROSE PHCY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • :
  • Address: 8615 KNOTT AVE
    STE 7
    BUENA PARK, CA
    ZIP 90620
  • Phone: (714) 952-4978

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NPI Details

SOUTH GATE ROSE PHCY INC is a long term care pharmacy pharmacy in Buena Park, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SOUTH GATE ROSE PHCY INC NPI is 1396756805. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

8615 KNOTT AVE
STE 7
BUENA PARK, CA
ZIP 90620-841
Phone: (714) 952-4978
Fax: (714) 953-6868

The provider's authorized official is Javier Zamora .
The authorized official title is Cfo and has the following contact phone number (714) 350-3009.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPHY47605CALIFORNIANo
23336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15622990OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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