Individual provider Active NPI

Amrita Bose, PHARMD

  • Ambulatory Care Pharmacist
  • Jackson Heights, NY
National Provider Identifier
1780433243
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
070983-01 Issued in NY
Practice address
3750 72ND St
Jackson Heights, NY 11372-6143
Phone
(844) 692-4692
Fax
(646) 815-7890
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 070983-01 NY Primary

Addresses

Primary practice location

3750 72ND St
Jackson Heights, NY 11372-6143

Mailing address

3168 34TH St Apt A3
Astoria, NY 11106-1750

Other practice location 1

100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (844) 692-4692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
070983-01NYMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1780433243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3168 34TH ST APT A3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 72ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726143",
            "telephone_number": "844-692-4692",
            "fax_number": "646-815-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112052005",
            "country_code": "US",
            "telephone_number": "844-692-4692",
            "fax_number": "718-260-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSE",
        "first_name": "AMRITA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "070983-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.