AMBER ENTERPRISES, INC. (NPI# 1306476940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306476940 |
| Entity Type | Organization |
| Organization Name | AMBER ENTERPRISES, INC. |
| Other Organization Name | AMBER SPECIALTY PHARMACY |
| Practice Address |
615 Lee St E Charleston WV 25301-2118 |
| Mailing Address |
10004 S 152nd St Ste A Omaha NE 68138-3931 |
| Practice Telephone | 8883701724 |
| Mailing Telephone | 8883701724 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-10-08 |
| 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 | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1306476940 | 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 |
| 1215550793 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 3103 Clairmont Road, Suite A, Atlanta, GA 30329-1043 | 2020-05-19 |
| 1538797923 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 300 Washington St Ste 150, Newton, MA 02458-1655 | 2020-03-31 |
| 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 |
615 LEE ST E |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| 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 |
|---|---|---|---|---|
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1134788649 | Eagle Pharmacy LLC | Pharmacy | 4216 Maccorkle Ave Se Ste 5, Charleston, WV 25304-2539 | 2019-06-08 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1134696230 | Holy City Pharmacy LLC | Pharmacy | 354 Folly Rd Ste 1, Charleston, SC 29412-2594 | 2018-10-26 |
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1407379449 | Walgreen Co | Pharmacy | 334 E Bay St Unit D, Charleston, SC 29401-1592 | 2017-07-21 |
| 1720495401 | Good Life Apothecary, Inc | Pharmacy | 3212 Penn Ave # 8, Charleston, WV 25302-4537 | 2014-07-15 |
| 1508008202 | Delta of Charleston Inc | Pharmacy | 320 E Bay St, Charleston, SC 29401-1681 | 2009-03-27 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354246 | South Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2566 Ashley River Rd, Charleston, SC 29414-4605 | 2006-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.