OrganizationActive
South Gate Rose Phcy Inc
NPI 1396756805 · Long Term Care Pharmacy · Buena Park, CA
South Gate Rose Phcy Inc is a Long Term Care Pharmacy organization in Buena Park, CA (NPI 1396756805).
Provider details
- NPI number
- 1396756805
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Javier Zamora, Cfo(714) 350-3009
- License
- PHY47605 (CA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8615 Knott Ave
Ste 7
Buena Park, CA 90620-3841
Phone: (714) 952-4978
Fax: (714) 953-6868
Approximate (ZIP-level) locationGet directions
Mailing address
8615 Knott Ave
Buena Park, CA 90620-3841
Other names (DBA / former)
- Doing business as
- Blue Rose Pharmacy
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2025-09-11
Frequently asked questions
- What is South Gate Rose Phcy Inc's NPI number?
- South Gate Rose Phcy Inc's National Provider Identifier (NPI) is 1396756805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Gate Rose Phcy Inc?
- South Gate Rose Phcy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is South Gate Rose Phcy Inc located?
- South Gate Rose Phcy Inc's practice location on file with NPPES is 8615 Knott Ave, Buena Park, CA 90620-3841.
- What is South Gate Rose Phcy Inc's phone number?
- The practice phone number listed in the NPPES registry for South Gate Rose Phcy Inc is (714) 952-4978.
- Who is the authorized official for South Gate Rose Phcy Inc?
- The authorized official listed on South Gate Rose Phcy Inc's NPPES record is Javier Zamora, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Gate Rose Phcy Inc's NPI active?
- Yes — South Gate Rose Phcy Inc's NPI (1396756805) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.