MEDICARE: AMERITA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	8498055-1704	UT
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	3653821704	UT
3	3336S0011X	Specialty Pharmacy	3653828913	UT
4	335G00000X	Medical Foods Supplier
5	3336H0001X	Home Infusion Therapy Pharmacy	3653828913	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4609383	OTHER	UT	NCPDP

General Provider Information

NPI Number	:	1023192390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERITA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 223017
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-2017
Country	:	US
Telephone Number	:	800-477-7375
Fax Number	:	877-676-0493

Provider Business Practice Location Address
First Line	:	2446 PROGRESS DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84119-1339
Country	:	US
Telephone Number	:	801-908-6100
Fax Number	:	801-908-8004

Authorized Official
Title or Position	:	CFO
Name	:	ALEXANDER LAWRENCE KATEN
Credential	:
Telephone Number	:	772-631-3140

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	01/02/2026

Similar Medicare Providers

1841080702 — AMY JO RYAN PHARMD
Practice Location Address:

2446 S PROGRESS DR
SALT LAKE CITY, UT
84119-1339

Practice Phone: 877-418-4114
Practice Fax: 877-418-4495

1083631436 — MS. AMY FILLMORE REEDER RD
Practice Location Address:

807 E SOUTH TEMPLE , STE 101
SALT LAKE CITY, UT
84102-1339

Practice Phone: 801-746-0776
Practice Fax: 801-746-0775

1548278658 — ERIN MARIE MERRYWEATHER NP
Practice Location Address:

807 E SOUTH TEMPLE , STE 101
SALT LAKE CITY, UT
84102-1339

Practice Phone: 801-746-0776
Practice Fax:

1831340389 — LUCINDA L ROSS APRN
Practice Location Address:

807 E SOUTH TEMPLE , SUITE 101
SALT LAKE CITY, UT
84102-1339

Practice Phone: 801-746-0776
Practice Fax: 801-746-0775

1538452479 — DEBORAH KIM APRN
Practice Location Address:

807 E SOUTH TEMPLE , STE# 101
SALT LAKE CITY, UT
84102-1339

Practice Phone: 801-746-0776
Practice Fax: 801-746-0775

1851727945 — RENEE WAHLENMAYER M.A., CCC-SLP
Practice Location Address:

2426 MAPLE AVE
LAKE CITY, PA
16423-1339

Practice Phone: 814-774-8009
Practice Fax:

Directions to “AMERITA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.