AMERITA, INC (NPI# 1598864134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598864134 |
| Entity Type | Organization |
| Organization Name | AMERITA, INC |
| Practice Address |
3775 Crossings Dr Prescott AZ 86305-7138 |
| Mailing Address |
6912 S Quentin St Ste 50 Centennial CO 80112-4531 |
| Practice Telephone | 9287080025 |
| Practice Fax Number | 9287080916 |
| Mailing Telephone | 7202825411 |
| Mailing Fax Number | 8773025251 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | MR. RICHARD D IRIYE (PRESIDENT) |
| Authorized Official Telephone | 3034070655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Y005977 | AZ | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Y005977 | AZ | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Y005977 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NCPDP | 320692 | 01 |
| AZ | 922610 | 05 | |
| DEA | FA4665379 | 01 | |
| AZ | PHARMACY | Y007460 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023157674 | Amerita, Inc | Durable Medical Equipment & Medical Supplies | 2101 Donley Dr, Suite 105, Austin, TX 78758-4511 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | AMERITA, INC. | 20 Fairbanks Ste 173, Irvine, CA 92618 |
| System for Award Management (SAM) Entities | AMERITA, INC. | 7307 S Revere Pkwy Ste 200, Centennial, CO 80112-3931 |
| Connecticut Business Registrations | Amerita, Inc. | 1901 Campus Place, Louisville, KY 40299 |
| Colorado Business Entities | Amerita, Inc. | 805 N Whittington Pkwy, Louisville, KY 40222 |
| Washington State Corporations | AMERITA, INC. | 805 N Whittington Pkwy, Louisville, KY 40222-7101 |
| New York State Corporations | AMERITA, INC. | 80 State Street, Albany, Ny 12207 |
| Street Address |
3775 CROSSINGS DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| 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. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872632 | Twelfth One, LLC | Pharmacy | 2227 W Pecos Rd Ste 12, Chandler, AZ 85224-4866 | 2017-06-28 |
| 1750550216 | Yuma Infusion Therapy, LLC | Pharmacy | 2170 1/2 W 24th St, Yuma, AZ 85364 | 2008-02-28 |
| 1851577290 | Korman LLC | Pharmacy | 5783 W Erie St, Chandler, AZ 85226-2749 | 2008-01-16 |
| 1386798809 | Tucson Iv Therapy, LLC | Pharmacy | 1997 W Price St, Tucson, AZ 85705-2218 | 2007-01-22 |
| 1629029251 | Accredo Health Group Inc | Pharmacy | 2040 W Rio Salado Pkwy, Suite 101b, Tempe, AZ 85281-2802 | 2006-05-16 |
| 1801495247 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2020-10-17 |
| 1952842239 | Amerita Inc | Pharmacy | 2002 N Forbes Blvd, Suite 104, Tucson, AZ 85745-1418 | 2017-03-20 |
| 1073982120 | Vitalab Pharmacy Inc | Pharmacy | 4045 E Bell Rd Ste 157, Suite 157, Phoenix, AZ 85032 | 2015-09-18 |
| 1275921082 | Banner -- University Medical Center Tucson Campus LLC | Pharmacy | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2014-12-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.