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AMBROSIA HEALTHCARE INC NPI 1457763989


NPI Information

NPI: 1457763989
Provider Name: AMBROSIA HEALTHCARE INC

Doing Business As: AMBROSIA HEALTHCARE INC

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
75060 GERALD FORD DR STE 2
PALM DESERT, CA
ZIP 92211
Phone: (760) 691-2000
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AMBROSIA HEALTHCARE INC is a home infusion therapy pharmacy pharmacy in Palm Desert, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. AMBROSIA HEALTHCARE INC NPI is 1457763989. The provider is registered as an organization entity type.
The provider Is Doing Business As Ambrosia Healthcare Inc.

The provider's business location address is:

75060 GERALD FORD DR STE 2
PALM DESERT, CA
ZIP 92211-080
Phone: (760) 691-2000
Fax: (888) 505-3006

The provider's authorized official is Manishkumar Patel .
The authorized official title is Ceo and has the following contact phone number (760) 691-2000.

The enumeration date for this NPI number is 6/2/2014 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336H0001XPharmacyHome Infusion Therapy PharmacyPHY51868CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12146736OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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