AMC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AMC PHARMACY LLC

Practice address

2653 Locust St
Saint Louis, MO 63103-1411

Phone

(855) 751-8878

Fax

(833) 529-0573

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Tony Fields, PHARM D

Title

Chief Pharmacy Officer

Phone

(414) 223-6874

Specialties & licenses 2

Addresses

Other names 2

• AMC Pharmacy Doing business as
• Vivent Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

AMC Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• AMC Pharmacy LLC

  • Community/Retail Pharmacy
  • Kansas City, MO
  • NPI 1033780937
  NPD tax ID
• AMC Pharmacy LLC

  • Community/Retail Pharmacy
  • Saint Louis, MO
  • NPI 1174220404
  NPD tax ID

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• AMC Pharmacy LLC

  • Community/Retail Pharmacy
  • Kansas City, MO
  • NPI 1033780937

  O20240926004423

  Same enrollment
• AMC Pharmacy LLC

  • Community/Retail Pharmacy
  • Saint Louis, MO
  • NPI 1174220404

  O20240926004423

  Same enrollment

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1366926552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N 6TH ST STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124006",
            "telephone_number": "800-359-9272",
            "fax_number": "833-368-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 LOCUST ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031411",
            "telephone_number": "855-751-8878",
            "fax_number": "833-529-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "414-223-6874",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vivent Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria P Ambort
• Mamie E Ambrosch, PA
• Juan Ulric Ambrose, M.D
• Tonia Denise Ambus
• AMC Pharmacy LLC
• Kahee Amedi, MD
• Susan J Ameiss, PA-C
• Ameling Chiropractic & Acupuncture, L.L.C.
• Jason Michael Ameling, D.C.
• Lauren Alaine Ameling, D.C.

• All providers in Saint Louis, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.