Active NPI
Amg Pharmacy Inc
Doing business as Red Square Pharmacy
- Community/Retail Pharmacy
- San Francisco, CA
National Provider Identifier
1154342103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47375
- Legal business name
- AMG PHARMACY INC
- Doing business as
- Red Square Pharmacy
- Practice address
- 442 Clement St
San Francisco, CA 94118-2318 - Phone
- (415) 387-5537
- Fax
- (415) 387-5489
- NPI assigned
- Jul 22, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyudmila Lyustin
- Title
- President
- Phone
- (415) 665-9810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY47375 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY47375 | CA | Primary |
Addresses
Primary practice location
442 Clement St
San Francisco, CA 94118-2318
Mailing address
442 Clement St
San Francisco, CA 94118-2318
Phone (415) 387-5537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0546020 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA470820 | Medicaid | CA |
Other names 1
- RED SQUARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
2700 International Blvd
Oakland, CA 94601
Phone (408) 230-7672
442 Clement St
San Francisco, CA 94118
Phone (415) 387-5537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1154342103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 CLEMENT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182318",
"telephone_number": "415-387-5537",
"fax_number": "415-387-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 CLEMENT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182318",
"telephone_number": "415-387-5537",
"fax_number": "415-387-5489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMG PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LYUSTIN",
"authorized_official_first_name": "LYUDMILA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-665-9810"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY47375",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0546020",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA470820",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RED SQUARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.