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NPI Code Detail

MEDICARE: AMS PHARMACY INC.

MEDICARE: AMS PHARMACY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25816220OTHERNYNCPDP

General Provider Information

NPI Number : 1063811628
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMS PHARMACY INC.
Provider Business Mailing Address
First Line : 817 E 180TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-1305
Country : US
Telephone Number : 718-618-7436
Fax Number : 718-513-4244
Provider Business Practice Location Address
First Line : 817 E 180TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-1305
Country : US
Telephone Number : 718-618-7436
Fax Number : 718-513-4244
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY RIVAS
Credential :
Telephone Number : 718-618-7436
Provider Enumeration Date : 08/20/2014
Last Update Date : 12/21/2025

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Directions to “AMS PHARMACY INC. ” Practice Location

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