Healthcare Provider Details

I. General information

NPI: 1790234862
Provider Name (Legal Business Name): AMERITA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2016
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HEMINGWAY DR STE 200
RIVERSIDE RI
02915-2224
US

IV. Provider business mailing address

PO BOX 223017
PITTSBURGH PA
15251-2017
US

V. Phone/Fax

Practice location:
  • Phone: 401-431-9020
  • Fax: 401-434-2026
Mailing address:
  • Phone: 800-477-7375
  • Fax: 877-676-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPHA00611
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02401
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPHA00611
License Number StateRI
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPHA00611
License Number StateRI
# 6
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPHA00611
License Number StateRI

VIII. Authorized Official

Name: ALEXANDER LAWRENCE KATEN
Title or Position: CFO
Credential:
Phone: 772-631-3140