Organization Active NPI

West Nyack Pharmacy LLC

  • Community/Retail Pharmacy
  • Nanuet, NY
National Provider Identifier
1811539604
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEST NYACK PHARMACY LLC
Practice address
117 Rockland Ctr
Nanuet, NY 10954-2956
Phone
(845) 480-2957
NPI assigned
Oct 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Amgad Amir, PHARMD
Title
Owner / Ceo
Phone
(845) 244-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

117 Rockland Ctr
Nanuet, NY 10954-2956

Mailing address

117 Rockland Ctr
Nanuet, NY 10954-2956
Phone (845) 244-8050

Other identifiers 1

IdentifierTypeStateIssuer
06323371MedicaidNY

Other names 1

  • West Nyack Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824003614 NY Part B Supplier - Pharmacy 2860819729 Practice locations: Nanuet, NY

National Provider Directory

National Provider Directory

Locations

117 Rockland Ctr
Nanuet, NY 10954
Phone (845) 244-8050

Practitioners & affiliated clinicians

Practitioners 1

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": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1811539604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ROCKLAND CTR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542956",
            "telephone_number": "845-244-8050",
            "fax_number": "845-244-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROCKLAND CTR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542956",
            "telephone_number": "845-480-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NYACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "845-244-8050",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06323371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Nyack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Nyack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.