Organization Active NPI

Amg Pharmacy Inc

Doing business as Red Square Pharmacy

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1154342103
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47375 Issued in CA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0546020OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA470820MedicaidCA

Other names 1

  • RED SQUARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.