Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Gate Rose Phcy Inc

Organization Community/Retail Pharmacy · NPI 1396756805

South Gate Rose Phcy Inc is a Community/Retail Pharmacy in Buena Park, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8615 Knott Ave Ste 7
Buena Park, CA 90620-3841
Phone: (714) 952-4978
Fax: (714) 953-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHY47605 (CA)

Record details

NPI number1396756805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Javier Zamora — Cfo · (714) 350-3009
Other names Blue Rose Pharmacy
NPI enumeratedAugust 10, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address8615 Knott Ave, Ste 7, Buena Park, CA 90620-3841

Other providers in Buena Park