Individual provider Active NPI

Sarena Megan Amburgey, PHARMD

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1205425527
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019862 Issued in KY
Practice address
914 E Broadway Ste 100-P
Louisville, KY 40204-1037
Phone
(502) 768-3251
Fax
(502) 498-8717
NPI assigned
Jan 12, 2021
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03337210 OH
Pharmacist 183500000X PS58176 FL
Pharmacist 183500000X 019862 KY Primary

Addresses

Primary practice location

914 E Broadway Ste 100-P
Louisville, KY 40204-1037

Mailing address

4024 Mulberry Row Way
Louisville, KY 40299-7400
Phone (859) 620-4353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS58176FLMDPharmacist
019862KYMDPharmacist
03337210OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC CurrentSince Oct 27, 2024 Accepting new patients
Genoa Healthcare LLC PastSince Oct 27, 2024 Accepting new patients

Locations

914 E Broadway
Ste 100P
Louisville, KY 40204
Phone (502) 768-3251

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1205425527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 MULBERRY ROW WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402997400",
            "telephone_number": "859-620-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 E BROADWAY STE 100-P",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041037",
            "telephone_number": "502-768-3251",
            "fax_number": "502-498-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "SARENA",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337210",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58176",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "019862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.