Amdan Incorporated
Organization Active NPI Pharmacy · St Thomas, VI
NPI 1992194385 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1992194385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 1-30441-1L (VI)
- Legal business name
- AMDAN INCORPORATED
- Practice address
- 9004 Havensight Shopp Ctr
Suite D Through F
St Thomas, VI 00802-2657 - Phone
- (340) 776-1235
- Fax
- (340) 776-1776
- NPI assigned
- Jan 22, 2015
- Organization subpart
- No
Authorized official
- Name
- Amy Durand
- Title
- Owner
- Phone
- (340) 776-1235
Practitioners 1
-
Amy Jessica Durand, PHARM. D., CPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Amdan Incorporated |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Ma… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210122000027 | VI | Part B Supplier - Mass Immunization (Roster Biller Only) | 6204240815 | Practice locations: St Thomas, VI |
| O20241231000041 | VI | DME Supplier - Medical Supply Company With Registered Pharmacist | 6204240815 | Practice locations: St. Thomas, VI |
National Provider Directory
Locations
9004 Havensight Shopp Ctr
Ste D
St Thomas, VI 00802
Phone (340) 776-1235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 1-30441-1L | VI | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
9004 Havensight Shopp Ctr
Suite D Through F
St Thomas, VI 00802-2657
Mailing address
PO Box 600180
St Thomas, VI 00801-6180
Phone (340) 776-1235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150784 | Other | PK | |
| NG124 | Other | VI | MEDICARE MASS PTAN |
| 8364790001 | Other | VI | MEDICARE DME PTAN |
Other names
- The Medicine Shoppe Pharmacy
Other providers in St Thomas, VI
- Allergy & Asthma Care, Inc
- Luis Orlando Amaro
- Ambrose Radiology and Psychology Services LLC
- Derron K.G. Ambrose
- Ambulatory Care Clinic L.L.C
- Susan GS Anderson
- Thomas Gordon Anderson
- Anesthesiology Consultants, LLC
- Angels Medical Supply Inc
- Ans Pediatrics PLLC
All providers in St Thomas, VI · Pharmacy in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.