Amber Jar Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28575 Issued in TX

Legal business name

AMBER JAR PHARMACY, LLC

Practice address

6160 Richmond Ave
Houston, TX 77057-6210

Phone

(713) 893-5993

Fax

(713) 893-5693

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Walaa Moussa

Title

Officer

Phone

(713) 893-5993

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Amber Jar Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1396185260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576210",
            "telephone_number": "713-893-5993",
            "fax_number": "713-893-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576210",
            "telephone_number": "713-893-5993",
            "fax_number": "713-893-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER JAR PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "WALAA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "713-893-5993"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28575",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Jar Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.