MEDICARE: AMBER ENTERPRISES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0004X	Compounding Pharmacy
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2093431	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730183385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBER ENTERPRISES INC

Provider Business Mailing Address
First Line	:	10004 S 152ND ST
Second Line	:	SUITE A
City	:	OMAHA
State	:	NE
Zip	:	68138-3930
Country	:	US
Telephone Number	:	402-896-5000
Fax Number	:	402-896-3774

Provider Business Practice Location Address
First Line	:	1301 E ARAPAHO RD
Second Line	:	SUITE 103
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2497
Country	:	US
Telephone Number	:	214-828-9848
Fax Number	:	214-828-9508

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KRISTIN WILLIAMS
Credential	:
Telephone Number	:	515-267-2800

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	04/23/2025

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Directions to “AMBER ENTERPRISES INC ” Practice Location

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