=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932073038
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMBICAA PHARMACY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2025
-----------------------------------------------------
Last Update Date | 10/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 214 MIDLAND AVE
-----------------------------------------------------
City | SADDLE BROOK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07663-6404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-956-6768
-----------------------------------------------------
Fax | 201-272-2123
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 214 MIDLAND AVE
-----------------------------------------------------
City | SADDLE BROOK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07663-6404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-956-6768
-----------------------------------------------------
Fax | 201-272-2123
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PARTH K PATEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 201-956-6768
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------