Amba Pharmacy Corp

Primary specialty

PharmacistTaxonomy code 183500000X

License

026845 Issued in NY

Legal business name

AMBA PHARMACY CORP

Doing business as

arlyn pharmacy

Practice address

753 Commack Rd
Brentwood, NY 11717-7407

Phone

(631) 665-8660

Fax

(631) 666-6356

NPI assigned

Nov 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Barry Gersten, J.D.,RPH

Title

Ceo

Phone

(631) 665-8660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• arlyn pharmacy Doing business as

Locations

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

{
    "created_epoch": "1131235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104807346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 COMMACK RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177407",
            "telephone_number": "631-665-8660",
            "fax_number": "631-666-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 COMMACK RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177407",
            "telephone_number": "631-665-8660",
            "fax_number": "631-666-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERSTEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-665-8660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D.,RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "arlyn pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Altobelli, RN
• Daniella Alviar, MD
• Galal Y Alzokm, MSW
• Stephen Amankwaa
• Jesica Amaya-Flores, LPN
• Marieandree Ambroise
• Tracyann Anderson
• Amanda Lynn Andersson
• Godfred Ankomah
• Tasheya Anthony

• Pharmacist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.