Southern Adventures

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP482201 Issued in PA

Legal business name

SOUTHERN ADVENTURES

Practice address

16332 Conneaut Lake Rd
Meadville, PA 16335-3843

Phone

(814) 333-1121

Fax

(814) 337-7990

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Ann Bercis, PHARM.D.

Title

Pharmacy Manager

Phone

(814) 333-1121

Specialties & licenses 1

Addresses

Other names 1

• The Medicine Shoppe 1975 Doing business as

Locations

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1699045971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16332 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353843",
            "telephone_number": "814-333-1121",
            "fax_number": "814-337-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16332 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353843",
            "telephone_number": "814-333-1121",
            "fax_number": "814-337-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ADVENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "BERCIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "814-333-1121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe 1975",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura E Smith, PHARMD
• Jacob D Snyder, PA-C
• Kelsey M Snyder, PA-C
• Julianne Sommers, R.PH.
• Luisa Sonnek, LPC
• Southerncare, Inc.
• Joseph John Sowansky Jr., O.D.
• Lee Shalamar Spain, D.O.
• Alida Spencer
• Dean W. Spencer, M.D.

• Pharmacy in Meadville, PA
• Providers in Meadville, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.