Organization Active NPI

Ams Pharmacy Inc.

Doing business as Twin Parks Pharmacy and Surgical Supplies

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1063811628
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AMS PHARMACY INC.
Doing business as
Twin Parks Pharmacy and Surgical Supplies
Practice address
817 E 180TH St
Bronx, NY 10460-1305
Phone
(718) 618-7436
Fax
(718) 513-4244
NPI assigned
Aug 20, 2014
Last updated
Dec 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Rivas
Title
President
Phone
(718) 618-7436

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

817 E 180TH St
Bronx, NY 10460-1305

Mailing address

817 E 180TH St
Bronx, NY 10460-1305
Phone (718) 618-7436

Other identifiers 2

IdentifierTypeStateIssuer
04035338MedicaidNY
5816220OtherNYNCPDP

Other names 1

  • Twin Parks Pharmacy and Surgical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150506002325 NY DME Supplier - Pharmacy 7113246505 Practice locations: Bronx, NY
O20230814001291 NY Part B Supplier - Pharmacy 7113246505 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Ams Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

817 E 180th St
#104
Bronx, NY 10460
Phone (718) 618-7436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766275200000",
    "number": "1063811628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "718-618-7436",
            "fax_number": "718-513-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "718-618-7436",
            "fax_number": "718-513-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-618-7436"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04035338",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5816220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Parks Pharmacy and Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin Parks Pharmacy and Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.