Active NPI
Ameripharm, Inc
- Mail Order Pharmacy
- Fairdale, KY
National Provider Identifier
1912314642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- Legal business name
- AMERIPHARM, INC
- Doing business as
- Medvantx Specialty Pharmacy
- Practice address
- 6204 New Cut Rd Unit 102
Fairdale, KY 40118-8303 - Phone
- (844) 877-8444
- Fax
- (866) 345-2757
- NPI assigned
- Jul 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michaela Bunde
- Title
- Pharmacist in Charge
- Phone
- (605) 212-5198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mail Order Pharmacy | 3336M0002X | Primary |
Addresses
Primary practice location
6204 New Cut Rd Unit 102
Fairdale, KY 40118-8303
Mailing address
6204 New Cut Rd Unit 102
Fairdale, KY 40118-8303
Phone (844) 877-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146826 | Other | PK |
Other names 1
- Medvantx Specialty Pharmacy
National Provider Directory
National Provider DirectoryLocations
6204 New Cut Rd
Unit 102
Fairdale, KY 40118
1860 Outer Loop
Ste 348
Louisville, KY 40219
Phone (605) 978-3967
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Louisville, KY
- NPI 1760082564
-
- Pharmacist
- Louisville, KY
- NPI 1750987913
-
- Pharmacist
- Sioux Falls, SD
- NPI 1598145757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1912314642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 NEW CUT RD UNIT 102",
"city": "FAIRDALE",
"state": "KY",
"postal_code": "401188303",
"telephone_number": "844-877-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 NEW CUT RD UNIT 102",
"city": "FAIRDALE",
"state": "KY",
"postal_code": "401188303",
"telephone_number": "844-877-8444",
"fax_number": "866-345-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIPHARM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-15",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "BUNDE",
"authorized_official_first_name": "MICHAELA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "605-212-5198"
},
"taxonomies": [
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146826",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medvantx Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairdale, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.