National Provider Identifier Database

ACARIAHEALTH PHARMACY 11 INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

ACARIAHEALTH PHARMACY 11 INC
1311 W SAM HOUSTON PKWY N STE 130
HOUSTON, TX77043
Phone: 800-511-5144
Fax: 866-834-8523
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion 251F00000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for ACARIAHEALTH PHARMACY 11 INC

NPI Number 1629195045
Legal business name
LBN
ACARIAHEALTH PHARMACY 11 INC
Authorized official JESSICA CICCOLELLA-KAHL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/22/2007
Last updated 02/25/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • AK Medicaid: 1028435
  • AR Medicaid: 194389407
  • AZ Medicaid: 709240
  • CO Medicaid: 9000143094
  • GA Medicaid: 003136163A
  • IA Medicaid: 1629195045
  • IN Medicaid: 200921260A
  • KS Medicaid: 200602430A
  • MN Medicaid: 1629195045
  • NE Medicaid: 100264790-00
  • NM Medicaid: 86135562
  • OH Medicaid: 0161049
  • OK Medicaid: 200241760A
  • SC Medicaid: 7T5485
  • TX Medicaid: 146690
  • WA Medicaid: 6031595
  • Other: 2133868 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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