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Acariahealth Pharmacy 12 Inc

NPI 1811206071ActiveOrganization· Pharmacy, Specialty Pharmacy· Hawthorne, NY

Pharmacy, Specialty Pharmacy in Hawthorne, New York, registered in NPPES in October 2010. The authorized official on file is Jessica Ciccolella-Kahl, President. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.

Overview

NPI1811206071
StatusActive
Entity typeOrganization
NPI issuedOct 5, 2010
Last updated in NPPESFeb 25, 2024
Certified by providerJul 31, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Specialty Pharmacy Primary3336S0011X030446NY
Home Infusion251F00000X——
Pharmacy, Specialty Pharmacy3336S0011XPH02751NV
Pharmacy, Specialty Pharmacy3336S0011X8788455-1708UT
Pharmacy, Specialty Pharmacy3336S0011XPHN10492RI
Pharmacy, Specialty Pharmacy3336S0011XNP000271PA
Pharmacy, Specialty Pharmacy3336S0011X036.0086823VT
Pharmacy, Specialty Pharmacy3336S0011X14829SC
Pharmacy, Specialty Pharmacy3336S0011X27747TX
Pharmacy, Specialty Pharmacy3336S0011X022156100OH
Pharmacy, Specialty Pharmacy3336S0011XMO40001550ME
Pharmacy, Specialty Pharmacy3336S0011XMO0560285WV
Pharmacy, Specialty Pharmacy3336S0011XNR0859NH
Pharmacy, Specialty Pharmacy3336S0011XPCN.0002265CT
Pharmacy, Specialty Pharmacy3336S0011X28RO00060600NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Pharmacy (NY)

Medicare sources and data years