AMBER ENTERPRISES, INC. (NPI# 1215550793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215550793 |
| Entity Type | Organization |
| Organization Name | AMBER ENTERPRISES, INC. |
| Other Organization Name | AMBER SPECIALTY PHARMACY |
| Practice Address |
3103 Clairmont Road Suite A Atlanta GA 30329-1043 |
| Mailing Address |
10004 S 152nd St Ste A Omaha NE 68138-3931 |
| Practice Telephone | 8883701724 |
| Mailing Telephone | 8883701724 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | MICAILA RUIZ (COO/CPO) |
| Authorized Official Telephone | 4028965000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMBER ACQUISITION, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003235373A | 05 |
| Other Name | Type Code |
|---|---|
| Amber Pharmacy | Doing Business As Name - Organization |
| Amber Specialty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181663 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 6925 Lake Ellenor Dr Ste 200, Orlando, FL 32809-4600 | 2020-07-16 |
| 1518584697 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2100 Riverchase Ctr Ste 400, Hoover, AL 35244-1855 | 2020-07-06 |
| 1396360376 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 629 Davis Dr Ste 100, Morrisville, NC 27560-7888 | 2020-06-15 |
| 1538797923 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 300 Washington St Ste 150, Newton, MA 02458-1655 | 2020-03-31 |
| 1306476940 | Amber Enterprises, Inc. | Pharmacy | 615 Lee St E, Charleston, WV 25301-2118 | 2020-01-23 |
| 1871076109 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 520 Ellicott St Ste 200, Buffalo, NY 14203-1517 | 2018-09-12 |
| 1851877229 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4602 N 16th St Ste 200, Phoenix, AZ 85016-5161 | 2018-07-18 |
| 1639528847 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 328 E Commercial Road, Unit 102 and 103, San Bernardino, CA 92408-3708 | 2016-06-08 |
| 1770148223 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4602 N 16th St Ste 200, Phoenix, AZ 85016-5161 | 2019-05-09 |
| 1508329012 | Amber Enterprises, Inc. | Pharmacy | 10004 S 152nd St Ste A, Omaha, NE 68138-3931 | 2019-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AMBER ENTERPRISES, INC. | 10004 So 152nd Street, Suite A, Omaha, NE 68138 |
| Iowa Business Entities | AMBER ENTERPRISES, INC. | 10004 S 152nd St, Omaha, NE 68138 |
| Washington State Corporations | AMBER ENTERPRISES, INC. | 1700 D St, Bellingham, WA 98225-3101 |
| Colorado Business Entities | Amber Enterprises, Inc. | 10004 So. 152nd Street, Ste. A, Omaha, NE 68138 |
| New York State Corporations | AMBER ENTERPRISES, INC. | 90 State Street Suite 700, Office 40, Albany, New York 12207 |
| Vermont Business Registrations | AMBER ENTERPRISES, INC. | 10004 So. 152nd St, Ste. A, Omaha, NE 68138 |
| Connecticut Business Registrations | AMBER ENTERPRISES, INC. | 10004 So. 152nd St., Ste. A, Omaha, NE 68138 |
| Street Address |
3103 CLAIRMONT ROAD SUITE A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1407492119 | Capsule Atlanta LLC | Pharmacy | 867 Peachtree St Ne Ste 102, Atlanta, GA 30308-1380 | 2019-11-18 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1912357641 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Drive, Suite B, Atlanta, GA 30331 | 2016-06-14 |
| 1285022277 | Express Food & Pharmacy Investment LLC | Pharmacy | 2111 Campbellton Rd Sw, Atlanta, GA 30311-4605 | 2014-12-30 |
| 1881024479 | Camp Creek Village Pharmacy Inc. | Pharmacy | 3220 Butner Rd Sw Suite #130, Atlanta, GA 30331 | 2013-11-18 |
| 1487093662 | Pharm Holdings | Pharmacy | 102 E Allday St, Atlanta, TX 75551-2305 | 2013-06-20 |
| 1255676326 | Eastlake Pharmacy Inc | Pharmacy | 1308 Glenwood Ave Se, Atlanta, GA 30316-2077 | 2012-11-30 |
| 1689918468 | Wal-mart Stores East Lp | Pharmacy | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2012-11-19 |
| Find all providers in ATLANTA | ||||
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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.