Organization Active NPI

Ambar LTC Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Covina, CA
National Provider Identifier
1174334890
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
AMBAR LTC PHARMACY, INC.
Practice address
281 E Rowland St
Covina, CA 91723-3149
Phone
(866) 994-1218
NPI assigned
Jan 14, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Ambareen Masood
Title
Ceo/Cfo/Sec
Phone
(866) 994-1218

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

281 E Rowland St
Covina, CA 91723-3149

Mailing address

281 E Rowland St
Covina, CA 91723-3149
Phone (866) 994-1218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924003648 CA DME Supplier - Pharmacy 3577068121 Practice locations: Covina, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ambar LTC Pharmacy281 E Rowland St, Covina, CA 91723-3149(866) 994-1218 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 18, 2025

National Provider Directory

National Provider Directory

Locations

281 E Rowland St
Covina, CA 91723
Phone (626) 974-1002

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1174334890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233149",
            "telephone_number": "866-994-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233149",
            "telephone_number": "866-994-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBAR LTC PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "AMBAREEN",
        "authorized_official_title_or_position": "CEO/CFO/SEC",
        "authorized_official_telephone_number": "866-994-1218"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.