Ambika Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

32067 Issued in TX

Legal business name

AMBIKA PHARMACY LLC

Practice address

2300 Matlock Rd Ste 37
Mansfield, TX 76063-5018

Phone

(682) 422-4421

Fax

(682) 292-1659

NPI assigned

Jun 1, 2018

Organization subpart

No

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

Authorized official

Name

Sonja R Turley

Title

Manager

Phone

(817) 423-3636

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mansfield Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1316439748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD",
            "address_2": "SUITE 37",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635019",
            "telephone_number": "682-422-4421",
            "fax_number": "682-292-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 37",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "682-422-4421",
            "fax_number": "682-292-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIKA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-423-3636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "32067",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mansfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Mansfield, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.