AMBA PHARMACY CORP (NPI# 1104807346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104807346 |
| Entity Type | Organization |
| Organization Name | AMBA PHARMACY CORP |
| Other Organization Name | ARLYN PHARMACY |
| Practice Address |
753 Commack Rd Brentwood NY 11717-7407 |
| Practice Telephone | 6316658660 |
| Practice Fax Number | 6316666356 |
| Mailing Telephone | 6316658660 |
| Mailing Fax Number | 6316666356 |
| Enumeration Date | 2005-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BARRY GERSTEN (CEO) |
| Authorized Official Telephone | 6316658660 |
| Authorized Official Credential | J.D.,RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 026845 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01592658 | 05 |
| Other Name | Type Code |
|---|---|
| arlyn pharmacy | Doing Business As Name - Organization |
| Street Address |
753 COMMACK RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679749 | Sai Gauri Pharmacy LLC | Pharmacy | 753 Commack Rd, Brentwood, NY 11717-7407 | 2019-10-06 |
| 1245603349 | Nitya Pharmacy LLC | Pharmacy | 753 Commack Rd, Brentwood, NY 11717-7407 | 2015-11-11 |
| 1881845865 | Salumed Pharmacy Inc | Pharmacy | 753 Commack Rd, Brentwood, NY 11717-7407 | 2008-10-08 |
| 1043298185 | Robert B Lamonsoff | Optometrist | 753 Commack Rd, Brentwood, NY 11717-7407 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1790328961 | Elizabeth Jasper | Pharmacist | 5629 Ottershaw Ct, Brentwood, TN 37027-4100 | 2019-10-21 |
| 1164972121 | Alejandro Guan | Pharmacist | 2643 Presidio Dr, Brentwood, CA 94513-5601 | 2016-10-13 |
| 1801267448 | Jacqueline Dubois Diaz | Pharmacist | 1003 Brentwood Pt, Brentwood, TN 37027-7966 | 2015-10-08 |
| 1508247511 | Mona Kiriakos | Pharmacist | 1923 Cedar Falls Ave, Brentwood, CA 94513-4147 | 2015-06-16 |
| 1528456514 | Felicia C. Udoji | Pharmacist | 1231 Carl Seyfert Memorial Dr, Brentwood, TN 37027 | 2014-12-30 |
| 1265844260 | Jyothi Somireddy | Pharmacist | 2400 Sand Creek Rd, Brentwood, CA 94513-7058 | 2014-05-24 |
| 1285987792 | Angela M Jones | Pharmacist | 933 Bluff Rd, Brentwood, TN 37027-8320 | 2012-10-22 |
| 1922383082 | Steven John Miller | Pharmacist | 5200 Maryland Way C/o Pharmmd, Suite 200, Brentwood, TN 37027-5018 | 2011-10-19 |
| 1790068336 | Lee Anne Brown | Pharmacist | 1654 Kirkwood Pl, Brentwood, TN 37027-8678 | 2011-09-20 |
| Find all providers in BRENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.