Healthcare Provider Details
I. General information
NPI: 1932073038
Provider Name (Legal Business Name): AMBICAA PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
214 MIDLAND AVE
SADDLE BROOK NJ
07663-6404
US
IV. Provider business mailing address
214 MIDLAND AVE
SADDLE BROOK NJ
07663-6404
US
V. Phone/Fax
- Phone: 201-956-6768
- Fax: 201-272-2123
- Phone: 201-956-6768
- Fax: 201-272-2123
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
PARTH
K
PATEL
Title or Position: OWNER
Credential:
Phone: 201-956-6768