Amber Specialty Pharmacy – Community/Retail Pharmacy, NPI 1730183385

Amber Specialty Pharmacy is a healthcare provider. based in Omaha, Nebraska. specializing in Community/Retail Pharmacy. The organization holds a License No. 20142 (TX). The NPI Number for Amber Specialty Pharmacy is 1730183385

Main info

Organization
Name
Amber Specialty Pharmacy
NPI
1730183385
Phone
(402) 896-5000
Address
10004 S 152ND ST
Authorized Official
KRISTIN WILLIAMS PRESIDENT
Enumeration Date
10 June 2005
Last Update Date
23 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness80
Years active:21State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Amber Specialty Pharmacy

  • South 152nd Street, Millard, Omaha, Douglas County, Nebraska, 68137, United States

    SUITE A

    OMAHA, NE 681383930

    Phone: (402) 896-5000

    Fax: (402) 896-3774

    Type: Mailing

  • 1301, East Arapaho Road, Richardson, Dallas County, Texas, 75081, United States

    SUITE 103

    RICHARDSON, TX 750812497

    Phone: (214) 828-9848

    Fax: (214) 828-9508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (192 days ago).

Enrollment records

1

Earliest due date

2025-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930063934OPharmacyTX2025-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68138)

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Reviews

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Frequently asked questions

What unique ID ties claims to Amber Specialty Pharmacy?
NPI 1730183385 is assigned to Amber Specialty Pharmacy under the national enumeration system.
Is Amber Specialty Pharmacy's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Amber Specialty Pharmacy work in?
You can think of Amber Specialty Pharmacy as practicing within Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Where is Amber Specialty Pharmacy's primary listing?
We display Omaha, Nebraska because that is what the record indicates for Amber Specialty Pharmacy.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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