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	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies	25212	TX
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	25212	TX
4	335G00000X	Medical Foods Supplier
5	3336H0001X	Home Infusion Therapy Pharmacy	25212	TX

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	25212	OTHER	TX	BOARD OF PHARMACY
3	4528189	OTHER	TX	NCPDP

General Provider Information

NPI Number	:	1629174214
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	:	6015 RANDOLPH BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-5719
Country	:	US
Telephone Number	:	210-930-7200
Fax Number	:	210-930-7235

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	01/02/2026

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Directions to “AMERITA, INC. ” Practice Location

Language	Start Address	Practice Location

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