Individual provider Active NPI

Benjamin Peter Vroman, PHARM.D., BCPS

  • Pharmacotherapy Pharmacist
  • Meadville, PA
National Provider Identifier
1174996276
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RP445686 Issued in PA
Practice address
1305 S Main St
Meadville, PA 16335-3036
Phone
(855) 693-2286
Fax
(888) 704-4877
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP0013405 WV
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03442931 OH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP445686 PA
Pharmacotherapy Pharmacist 1835P1200X RP445686 PA Primary

Addresses

Primary practice location

1305 S Main St
Meadville, PA 16335-3036

Mailing address

1305 S Main St
Meadville, PA 16335-3036
Phone (855) 693-2286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03442931OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP445686PAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0013405WVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1174996276",
    "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": "855-693-2286",
            "fax_number": "888-704-4877"
        },
        {
            "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": "855-693-2286",
            "fax_number": "888-704-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROMAN",
        "first_name": "BENJAMIN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0013405",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03442931",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP445686",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "PA",
            "license": "RP445686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.