Organization Active NPI

Amber Enterprises Inc.

  • Community/Retail Pharmacy
  • Omaha, NE
National Provider Identifier
1770586349
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Member 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.

Verify at the official NPI Registry.