Vantage LTC Limited

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VANTAGE LTC LIMITED

Practice address

1305 S Main St
Meadville, PA 16335-3036

Phone

(814) 336-1301

Fax

(814) 336-1308

NPI assigned

May 31, 2006

Last updated

Feb 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April B Archacki

Title

Reimbursement Supervisor

Phone

(814) 336-1301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA3 enrollments

Enrollment records 3

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Allegheny Health Network Home Infusion LLC

  • Home Infusion Agency
  • Meadville, PA
  • NPI 1033111208

  Member Of

  NPD member
• Upmc Horizon

  • Ambulatory Surgical Clinic/Center
  • Greenville, PA
  • NPI 1952465890

  Member Of

  NPD member
• Lake Erie College of Osteopathic Medicine

  dba Lecom - Englewood Family Practice

  • Family Medicine Physician
  • Englewood, FL
  • NPI 1467087296

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Allegheny Health Network Home Infusion LLC

  • Home Infusion Agency
  • Meadville, PA
  • NPI 1033111208

  Member Of

  NPD member
• Allegheny Health Network Home Infusion LLC

  dba Allegheny Health Network Home Infusion

  • Home Infusion Therapy Pharmacy
  • Sharpsburg, PA
  • NPI 1780046284

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Bojewski, PHARMD.

  • Pharmacist
  • Ashtabula, OH
  • NPI 1639429020
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1073550042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353036",
            "telephone_number": "814-336-1301",
            "fax_number": "814-336-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353036",
            "telephone_number": "814-336-1301",
            "fax_number": "814-336-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE LTC LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "ARCHACKI",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "REIMBURSEMENT SUPERVISOR",
        "authorized_official_telephone_number": "814-336-1301"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Meadville, PA
• Providers in Meadville, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.