Organization Active NPI

Amaranth Life Sciences Pharmaceutical, Inc.

  • Specialty Pharmacy
  • Boca Raton, FL
National Provider Identifier
1780244335
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
AMARANTH LIFE SCIENCES PHARMACEUTICAL, INC.
Practice address
1731 Avenida del Sol
Boca Raton, FL 33432-1742
Phone
(561) 756-8291
Fax
(347) 342-3030
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Walter Wolf
Title
President
Phone
(561) 213-2873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1731 Avenida del Sol
Boca Raton, FL 33432-1742

Mailing address

1731 Avenida del Sol
Boca Raton, FL 33432-1742
Phone (561) 756-8291

National Provider Directory

National Provider Directory

Locations

1731 Avenida del Sol
Boca Raton, FL 33432
Phone (561) 756-8291

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1780244335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 AVENIDA DEL SOL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321742",
            "telephone_number": "561-756-8291",
            "fax_number": "347-342-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 AVENIDA DEL SOL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321742",
            "telephone_number": "561-756-8291",
            "fax_number": "347-342-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARANTH LIFE SCIENCES PHARMACEUTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-213-2873"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.