Organization Active NPI

Ameripharm, Inc

  • Mail Order Pharmacy
  • Fairdale, KY
National Provider Identifier
1912314642
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
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

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michaela BundeNPI 1760082564
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2146826OtherPK

Other names 1

  • Medvantx Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.