Healthcare Provider Details

I. General information

NPI: 1760347827
Provider Name (Legal Business Name): AMS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 E 180TH ST
BRONX NY
10460-1305
US

IV. Provider business mailing address

817 E 180TH ST
BRONX NY
10460-1305
US

V. Phone/Fax

Practice location:
  • Phone: 718-618-7436
  • Fax: 718-513-4244
Mailing address:
  • Phone: 718-618-7436
  • Fax: 718-513-4244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY RIVAS
Title or Position: PRESIDENT
Credential:
Phone: 718-618-7436