Healthcare Provider Details

I. General information

NPI: 1023192390
Provider Name (Legal Business Name): AMERITA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 PROGRESS DR
SALT LAKE CITY UT
84119-1339
US

IV. Provider business mailing address

PO BOX 223017
PITTSBURGH PA
15251-2017
US

V. Phone/Fax

Practice location:
  • Phone: 801-908-6100
  • Fax: 801-908-8004
Mailing address:
  • Phone: 800-477-7375
  • Fax: 877-676-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number8498055-1704
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number3653821704
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number3653828913
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number3653828913
License Number StateUT

VIII. Authorized Official

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