Provider Demographics
NPI:1205425527
Name:AMBURGEY, SARENA MEGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARENA
Middle Name:MEGAN
Last Name:AMBURGEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 MULBERRY ROW WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-7400
Mailing Address - Country:US
Mailing Address - Phone:859-620-4353
Mailing Address - Fax:
Practice Address - Street 1:914 E BROADWAY STE 100-P
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1037
Practice Address - Country:US
Practice Address - Phone:502-768-3251
Practice Address - Fax:502-498-8717
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337210183500000X
FLPS58176183500000X
KY019862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist