Organization Active NPI

Amb Corp

Doing business as Grayslake Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Grayslake, IL
National Provider Identifier
1720014301
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMB CORP
Doing business as
Grayslake Pharmacy
Practice address
161 Center St
Grayslake, IL 60030-1532
Phone
(847) 223-8251
Fax
(847) 223-1540
NPI assigned
Jun 24, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Tara Ann Farmer, PHARMD
Title
Pharmacist
Phone
(847) 223-8251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

161 Center St
Grayslake, IL 60030-1532

Mailing address

161 Center St
Grayslake, IL 60030-1532
Phone (847) 223-8251

Other names 1

  • Grayslake Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

161 Center St
Grayslake, IL 60030
Phone (847) 223-8251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1720014301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301532",
            "telephone_number": "847-223-8251",
            "fax_number": "847-223-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301532",
            "telephone_number": "847-223-8251",
            "fax_number": "847-223-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "847-223-8251",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayslake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.