NPIMap

Organization Active NPI

Ambe Inc

  • Community/Retail Pharmacy
  • Burton, MI
National Provider Identifier
1760722896
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010038 Issued in MI
Legal business name
AMBE INC
Practice address
5446 Lapeer Rd
Unit - a
Burton, MI 48509
Phone
(810) 877-6446
Fax
(810) 877-6760
NPI assigned
Feb 27, 2013
Organization subpart
Yes
Parent organization
AMBE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Ketankumar Patel, RPHNPI 1134351224
Title
President
Phone
(810) 877-6446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010038 MI Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5446 Lapeer Rd
Unit - a
Burton, MI 48509

Mailing address

5446 Lapeer Rd
Unit a
Burton, MI 48509
Phone (810) 877-6446

Other identifiers 1

IdentifierTypeStateIssuer
2377744OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ABC Discount Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200817001644 MI Part B Supplier - Mass Immunization (Roster Biller Only) 8628494044 Practice locations: Burton, MI

National Provider Directory

National Provider Directory
Part of
Ambe Inc

Locations

5448 Lapeer Rd Unit a
Abc Discount Pharm
Burton, MI 48509
Phone (810) 877-6446

6009 Lapeer Rd
Burton, MI 48509
Phone (810) 744-4141

5446 Lapeer Rd
#A
Burton, MI 48509
Phone (810) 877-6446

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1760722896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 LAPEER RD",
            "address_2": "UNIT A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48509",
            "telephone_number": "810-877-6446",
            "fax_number": "810-877-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 LAPEER RD",
            "address_2": "UNIT - A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48509",
            "telephone_number": "810-877-6446",
            "fax_number": "810-877-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBE INC",
        "enumeration_date": "2013-02-27",
        "last_updated": "2020-12-22",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETANKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-877-6446",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010038",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2377744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.