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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 Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion

251F00000X
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACARIAHEALTH PHARMACY 11 INC

NPI # 1629195045
LBN Legal business name ACARIAHEALTH PHARMACY 11 INC
Authorized official JESSICA CICCOLELLA-KAHL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 02/25/2024 - About 2 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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