Provider Demographics
NPI:1851337216
Name:AMERIHEALTH INC
Entity Type:Organization
Organization Name:AMERIHEALTH INC
Other - Org Name:AMERIHEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:UKENYE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC PHARMACY
Authorized Official - Phone:956-220-5088
Mailing Address - Street 1:1901 FREES ST
Mailing Address - Street 2:STE 2
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-7152
Mailing Address - Country:US
Mailing Address - Phone:956-728-8881
Mailing Address - Fax:956-728-7548
Practice Address - Street 1:1901 FREES ST
Practice Address - Street 2:STE 2
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-7152
Practice Address - Country:US
Practice Address - Phone:956-728-8881
Practice Address - Fax:956-728-7548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
TX243843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178727701Medicaid
4539601OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TX178727702Medicaid
4539601OtherNCPDP PROVIDER IDENTIFICATION NUMBER