1649331661 NPI number — AMERIHEALTH MEDS, L.L.C.

Table of content: (NPI 1649331661)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649331661 NPI number — AMERIHEALTH MEDS, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERIHEALTH MEDS, L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649331661
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4232 WILLIAMS BLVD
Provider Second Line Business Mailing Address:
SUITE 106
Provider Business Mailing Address City Name:
KENNER
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70065-2271
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-305-4350
Provider Business Mailing Address Fax Number:
504-305-4351

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4232 WILLIAMS BLVD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
KENNER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70065-2271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-305-4350
Provider Business Practice Location Address Fax Number:
504-305-4351
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SAHUC
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
PHARMACIST IN CHARGE
Authorized Official Telephone Number:
15043054350

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  5199-IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1271578 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com