MEDICARE: AMERIHEALTH 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
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	24384	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4539601	OTHER	NCPDP PROVIDER IDENTIFICATION NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851337216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIHEALTH INC

Provider Business Mailing Address
First Line	:	1901 FREES ST
Second Line	:	STE 2
City	:	LAREDO
State	:	TX
Zip	:	78046-7152
Country	:	US
Telephone Number	:	956-728-8881
Fax Number	:	956-728-7548

Provider Business Practice Location Address
First Line	:	1901 FREES ST
Second Line	:	STE 2
City	:	LAREDO
State	:	TX
Zip	:	78046-7152
Country	:	US
Telephone Number	:	956-728-8881
Fax Number	:	956-728-7548

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	ANN UKENYE
Credential	:	BSC PHARMACY
Telephone Number	:	956-220-5088

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	01/14/2010

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Directions to “AMERIHEALTH INC ” Practice Location

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