Advantage Vaccination Services

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANTAGE VACCINATION SERVICES

Practice address

270 E 7TH St Ste 2C
Upland, CA 91786

Phone

(866) 261-6460

Fax

(909) 354-3357

NPI assigned

Sep 10, 2013

Last updated

Jun 19, 2018By 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

Louis PetrieNPI 1154682243

Title

Owner

Phone

(866) 261-6460

Specialties & licenses 1

Addresses

Locations

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.

• Louis Petrie, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Rancho Cucamonga, CA
  • NPI 1154682243
  NPD (past) Authorized official

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1760817670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST STE 2C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866602",
            "telephone_number": "866-261-6460",
            "fax_number": "909-354-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST STE 2C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "866-261-6460",
            "fax_number": "909-354-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE VACCINATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-261-6460"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.