Acariahealth Pharmacy 12 Inc
Specialty Pharmacy
5 Skyline Dr Ste 240, Hawthorne
New York, 10532-2166
800-511-5144 866-834-8523
Acariahealth Pharmacy 12 Inc is an authorized DME supplier for medicare equipments and products.
Acariahealth Pharmacy 12 Inc is a Specialty Pharmacy in Hawthorne, New York. It is located at 5 Skyline Dr Ste 240, Hawthorne and it's customer support contact number is 800-511-5144. The authorized person of Acariahealth Pharmacy 12 Inc is Jessica Ciccolella-kahl who is President of the pharmacy and his contact number is 855-422-2742. Active license number of Acariahealth Pharmacy 12 Inc is 030446 for Specialty Pharmacy in New York. Acariahealth Pharmacy 12 Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Acariahealth Pharmacy 12 Inc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Acariahealth Pharmacy 12 Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Acariahealth Pharmacy 12 Inc |
| Type: | Specialty Pharmacy |
| Location: | 5 Skyline Dr Ste 240, Hawthorne, New York, 10532-2166 |
| Phone: | 800-511-5144 |
| Fax: | 866-834-8523 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jessica Ciccolella-kahl |
| Position: | President |
| Contact Number: | 855-422-2742 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1811206071 |
| NPI Enumeration Date: | 05 Oct, 2010 |
| NPI Last Update On: | 25 Feb, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Acariahealth Pharmacy 12 Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | 030446 | New York | Primary | |
| Home Infusion | | | Secondary | |
| Specialty Pharmacy | PH02751 | Nevada | Secondary | |
| Specialty Pharmacy | 8788455-1708 | Utah | Secondary | |
| Specialty Pharmacy | PHN10492 | Rhode Island | Secondary | |
| Specialty Pharmacy | 28RO00060600 | New Jersey | Secondary | |
| Specialty Pharmacy | NP000271 | Pennsylvania | Secondary | |
| Specialty Pharmacy | 036.0086823 | Vermont | Secondary | |
| Specialty Pharmacy | 022156100 | Ohio | Secondary | |
| Specialty Pharmacy | MO40001550 | Maine | Secondary | |
| Specialty Pharmacy | MO0560285 | West Virginia | Secondary | |
| Specialty Pharmacy | NR0859 | New Hampshire | Secondary | |
| Specialty Pharmacy | PCN.0002265 | Connecticut | Secondary | |
| Specialty Pharmacy | 14829 | South Carolina | Secondary | |
| Specialty Pharmacy | 27747 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1811206071 | Medicaid | Utah | |
| 1811206071 | Medicaid | Tennessee | |
| 1811206071 | Medicaid | Connecticut | |
| 103040076 0001 | Medicaid | Pennsylvania | |
| 2133866 | Other | | Pk |
| 3262360 | Medicaid | New York | |
| 7N0446 | Medicaid | South Carolina | |
| 0287865 | Medicaid | New Jersey | |
| 1021594 | Medicaid | Vermont | |
| 0054586 | Medicaid | Ohio | |
| 3094449 | Medicaid | New Hampshire | |
Medicare Enrollment:
Acariahealth Pharmacy 12 Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3971786369 | O20110322000978 | Acariahealth Pharmacy #12, Inc. | DME SUPPLIER - PHARMACY |
| 3971786369 | O20160615001342 | Acariahealth Pharmacy #12, Inc. | PART B SUPPLIER - OTHER |
Products Available:
Acariahealth Pharmacy 12 Inc has following products available for sale under medicare.
| Products: |
|---|
| • Infusion Pumps & Supplies: External Infusion | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 956780, Saint Louis, Missouri |
| Zip: | 63195-6780 |
| Phone Number: | 855-422-2742 |
Patients can reach Acariahealth Pharmacy 12 Inc at
5 Skyline Dr Ste 240, Hawthorne, New York or can
call on customer care at 800-511-5144.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.