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Acariahealth Pharmacy 12 Inc

Specialty Pharmacy in Hawthorne, NY · enumerated 2010 · authorized official Jessica Ciccolella-Kahl, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811206071

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Acariahealth Pharmacy 12 Inc
Other name <Unavail>
Practice address 5 Skyline Dr Ste 240, Hawthorne, NY, 10532
Phone (800) 511-5144
Fax (866) 834-8523
Enumeration date Oct 5, 2010
Last updated in NPPES Feb 25, 2024

Taxonomy & classification

251F00000X Home Infusion Agency Agencies Secondary
3336S0011X Specialty Pharmacy Suppliers · License PH02751 (NV) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 8788455-1708 (UT) Secondary
3336S0011X Specialty Pharmacy Suppliers · License PHN10492 (RI) Secondary
3336S0011X Specialty Pharmacy Suppliers · License NP000271 (PA) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 036.0086823 (VT) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 14829 (SC) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 27747 (TX) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 022156100 (OH) Secondary
3336S0011X Specialty Pharmacy Suppliers · License MO40001550 (ME) Secondary
3336S0011X Specialty Pharmacy Suppliers · License MO0560285 (WV) Secondary
3336S0011X Specialty Pharmacy Suppliers · License NR0859 (NH) Secondary
3336S0011X Specialty Pharmacy Suppliers · License PCN.0002265 (CT) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 28RO00060600 (NJ) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 030446 (NY) Primary

Authorized official

Name Jessica Ciccolella-Kahl
Title President
Phone (855) 422-2742

Other identifiers

Identifier Type State Issuer
1811206071 Medicaid UT -
1811206071 Medicaid TN -
1811206071 Medicaid CT -
103040076 0001 Medicaid PA -
2133866 Other - PK
3262360 Medicaid NY -
7N0446 Medicaid SC -
0287865 Medicaid NJ -
1021594 Medicaid VT -
0054586 Medicaid OH -
3094449 Medicaid NH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-25. Verify at npiregistry.cms.hhs.gov.
Where is Acariahealth Pharmacy 12 Inc located?
The practice location on file with NPPES is in Hawthorne, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-25.