Active NPI
Amber Enterprises Inc.
- Community/Retail Pharmacy
- Omaha, NE
National Provider Identifier
1770586349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- AMBER ENTERPRISES INC.
- Practice address
- 10004 S 152ND St
Suite a
Omaha, NE 68138-3930 - Phone
- (402) 896-5000
- Fax
- (402) 896-3774
- NPI assigned
- May 27, 2005
- Organization subpart
- Yes
- Parent organization
- CENTERWELL PHARMACY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Lysinger
- Title
- VP, Cfo, Pharmacy
- Phone
- (502) 580-2376
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
10004 S 152ND St
Suite a
Omaha, NE 68138-3930
Mailing address
10004 S 152ND St Ste a
Omaha, NE 68138-3931
Phone (402) 896-5000
Other names 1
- AMBER SPECIALTY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930009089 | NE | DME Supplier - Pharmacy | 4587781448 | Practice locations: Omaha, NE |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10004 S 152nd St
Omaha, NE 68138
Phone (402) 896-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1770586349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 S 152ND ST STE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681383931",
"telephone_number": "402-896-5000",
"fax_number": "402-896-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 S 152ND ST",
"address_2": "SUITE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681383930",
"telephone_number": "402-896-5000",
"fax_number": "402-896-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBER ENTERPRISES INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTERWELL PHARMACY, INC.",
"enumeration_date": "2005-05-27",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "LYSINGER",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "VP, CFO, PHARMACY",
"authorized_official_telephone_number": "502-580-2376"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMBER SPECIALTY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.