Provider Demographics
NPI:1275598146
Name:AMBER ENTERPRISES INC
Entity Type:Organization
Organization Name:AMBER ENTERPRISES INC
Other - Org Name:AMBER SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-267-7784
Mailing Address - Street 1:10004 S 152ND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-3930
Mailing Address - Country:US
Mailing Address - Phone:402-896-5000
Mailing Address - Fax:402-896-3774
Practice Address - Street 1:323 NORRISTOWN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2756
Practice Address - Country:US
Practice Address - Phone:267-419-8506
Practice Address - Fax:877-853-1644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 332B00000X, 332BP3500X, 3336C0004X, 3336H0001X, 3336S0011X
PAPP4815353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA17315560004Medicaid
2087677OtherPK
0297920006Medicare NSC