SOUTHERN ADVENTURES (NPI# 1699045971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699045971 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ADVENTURES |
| Other Organization Name | THE MEDICINE SHOPPE 1975 |
| Practice Address |
16332 Conneaut Lake Rd Meadville PA 16335-3843 |
| Practice Telephone | 8143331121 |
| Practice Fax Number | 8143377990 |
| Mailing Telephone | 8143331121 |
| Mailing Fax Number | 8143377990 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | MRS. REBECCA ANN BERCIS (PHARMACY MANAGER) |
| Authorized Official Telephone | 8143331121 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PP482201 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe 1975 | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SOUTHERN ADVENTURES MARKETING L.L.C. | 514 A N Main St, Po Box 250, Hillsville, Virginia 24343 |
| Street Address |
16332 CONNEAUT LAKE RD |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891815429 | Stairways Behavioral Health | Psychiatry & Neurology | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2007-03-29 |
| 1114469616 | Elizabeth Gillette | Nurse Practitioner | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2016-11-15 |
| 1760818041 | Michelle Louise Helbig | Physician Assistant | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2013-09-19 |
| 1548553712 | Anthony James Quindardo | Physician Assistant | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2011-05-20 |
| 1679873723 | Meadville Urgent Care Physicians LLC | Emergency Medicine | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2010-10-22 |
| 1851567259 | Stuart Thompson | Counselor | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2008-05-06 |
| 1942476346 | Valerie Cheney | Counselor | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2008-05-06 |
| 1609996990 | Stairways Behavioral Health | Clinic/Center | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730573460 | Northwest Pharmacy Solutions LLC | Pharmacy | 740 N Main Street Ext Ste 102, Meadville, PA 16335-1149 | 2015-03-19 |
| 1093955544 | Apothecare LLC | Pharmacy | 82 Main St W, Meadville, MS 39653-9320 | 2009-02-24 |
| 1033111208 | Allegheny Health Network Home Infusion LLC | Pharmacy | 1305 S Main St, Meadville, PA 16335-3036 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.