NPI 1801436365 · live from the CMS NPI Registry
Amerita South Atlantic LLC
Pharmacy, Home Infusion Therapy Pharmacy in Kingsport, TN. National Provider Identifier 1801436365, active.
NPI record
| NPI | 1801436365 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Home Infusion Therapy Pharmacy 3336H0001X |
| Practice location | 105 Jack White Dr Ste B, Kingsport, TN 37664 |
| Practice phone | 423-402-8807 |
| Mailing address | Po Box 223017, Pittsburgh, PA 15251 |
| Enumerated | January 13, 2020 |
| Last updated | July 28, 2026 |
| Authorized official | Richard Gentleman, Senior Vice President |
| Other names | Advanced Home Infusion; Amerita |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | — |
| Pharmacy, Home Infusion Therapy Pharmacy primary | 3336H0001X | — |
| Medical Foods Supplier | 335G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.