Amity Hub LLC – Community/Retail Pharmacy

Key facts

NPI: 1386401685
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
Legal business name: AMITY HUB LLC
Practice address: 245 Amity Rd
Woodbridge, CT 06525-2258
Phone: (203) 638-4543
Fax: (262) 429-9428
NPI assigned: Mar 4, 2024
Organization subpart: No

Authorized official

Name: Mr. Omar Eliwa, RPH
Title: Ceo
Phone: (414) 204-4025

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Omar Eliwa Pharmacist · Oak Creek, WI · NPI 1326478322

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240807002692	CT	Part B Supplier - Pharmacy	6901343011	Practice locations: Woodbridge, CT

National Provider Directory

Locations

245 Amity Rd
Woodbridge, CT 06525
Phone (203) 389-8177

245 Amity Rd
Ste 111
Woodbridge, CT 06525
Phone (203) 389-8863

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X			Yes

Addresses

Primary practice location

245 Amity Rd
Woodbridge, CT 06525-2258

Mailing address

136 N Main St
Thiensville, WI 53092-1606
Phone (414) 204-4025

Other names

Amity Pharmacy Doing business as

Other providers in Woodbridge, CT

All providers in Woodbridge, CT · Community/Retail Pharmacy in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.