Northern Adventures Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413389L Issued in PA

Legal business name

NORTHERN ADVENTURES INC.

Doing business as

Medicine Shoppe

Practice address

629 State St
Meadville, PA 16335-2262

Phone

(814) 337-8880

Fax

(814) 333-4197

NPI assigned

Jul 9, 2006

Last updated

Mar 7, 2023By 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

Mr. Kevin James Haylett, R.PH.NPI 1609143049

Title

Owner

Phone

814337888025

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

Practitioners 2

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.

• Kevin James Haylett, R.PH.

  • Pharmacist
  • Meadville, PA
  • NPI 1609143049
  NPD (past) Authorized official
• Ardis Kliber, PHARMD

  • Pharmacist
  • Meadville, PA
  • NPI 1558686907
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487687653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 STATE ST",
            "address_2": "PO BOX 805",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352262",
            "telephone_number": "814-337-8880",
            "fax_number": "814-333-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 STATE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352262",
            "telephone_number": "814-337-8880",
            "fax_number": "814-333-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ADVENTURES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAYLETT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814337888025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413389L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3935650",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022544990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Jean Newhard, LPC,NCC,CAADC,CCTP
• G Lawrence Newhook, MD
• Nicholas J Fedorka DMD PC
• Breanna Rose Noon, PHARM D.
• Jerod Scott Northcott
• Mikayla Northup, MS, RD, LD
• Northwest PA Endodontics, LLC
• Northwest Pharmacy Solutions LLC (Northwest Community Pharmacy)
• Northwest Pharmacy Solutions LLC (Northwest Pharmacy Solutions)
• Northwest Physicians Associates PC

• Community/Retail Pharmacy in Meadville, PA
• Providers in Meadville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.