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SOUTH GATE ROSE PHCY INC
NPI 1396756805
Pharmacy - Long Term Care Pharmacy in Buena Park, CA

Active since August 10, 2006
8615 KNOTT AVE, STE 7, BUENA PARK, CA 90620(714) 952-4978(714) 953-6868 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Gate Rose Phcy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH GATE ROSE PHCY INC (NPI 1396756805), doing business as Blue Rose Pharmacy, is a healthcare organization registered as a long term care pharmacy in Buena Park, California and active in the NPI registry since August 2006. The organization lists Javier Zamora, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396756805
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSOUTH GATE ROSE PHCY INC
Location Address8615 KNOTT AVE, STE 7Buena Park, CA 90620-3841
Mailing Address8615 Knott Ave, Ste 7Buena Park, CA 90620-3841
Phone(714) 952-4978
Fax(714) 953-6868
Organization SubpartNo
Authorized OfficialJavier ZamoraCfo · (714) 350-3009
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1396756805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHY47605 (CA)
8615 KNOTT AVE, Buena Park, CA 90620
Open in Google Maps ↗

Other Names 1

Doing Business AsBlue Rose Pharmacy

Other Identifiers 1

Other5622990Other Id Number-commercial Number

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA LOVELL DEGOMA DENOLO-CHAVEZ D.M.D.
Dentist (General Practice)
8615 KNOTT AVE, SUITE 1
BUENA PARK, CA 90620
Orange County (714) 995-9301
GAIL BALLON RPT
Physical Therapist
8615 KNOTT AVE, SUITE 8
BUENA PARK, CA 90620
Orange County (562) 484-3860
KIRSTIN WALSH OTR
Occupational Therapist
8615 KNOTT AVE, SUITE 8
BUENA PARK, CA 90620
Orange County (562) 484-3860
SOUTHGATE ROSE PHARMACY INC
Clinic/Center (Ambulatory Family Planning Facility)
8615 KNOTT AVE, SUITE #7
BUENA PARK, CA 90620
Orange County (714) 952-4978
ALLAN BAUTISTA RPT
Physical Therapist
8615 KNOTT AVE, SUITE 8
BUENA PARK, CA 90620
Orange County (562) 484-3860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Gate Rose Phcy Inc's NPI number?

The NPI number for South Gate Rose Phcy Inc is 1396756805. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Blue Rose Pharmacy.

Where is South Gate Rose Phcy Inc located?

South Gate Rose Phcy Inc is located at 8615 Knott Ave Ste 7, Buena Park, CA 90620. The listed phone number is (714) 952-4978.

What is South Gate Rose Phcy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for South Gate Rose Phcy Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.