Healthcare Provider Details

I. General information

NPI: 1912314642
Provider Name (Legal Business Name): AMERIPHARM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6204 NEW CUT RD UNIT 102
FAIRDALE KY
40118-8303
US

IV. Provider business mailing address

6204 NEW CUT RD UNIT 102
FAIRDALE KY
40118-8303
US

V. Phone/Fax

Practice location:
  • Phone: 844-877-8444
  • Fax: 866-345-2757
Mailing address:
  • Phone: 844-877-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAELA BUNDE
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 605-212-5198