THE MEDICINE SHOPPE 1975
NPI 1699045971
Pharmacy in Meadville, PA

NPI Status: Active since January 04, 2012

Contact Information

16332 CONNEAUT LAKE RD
MEADVILLE, PA
ZIP 16335
Phone: (814) 333-1121
Fax: (814) 337-7990

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  • Organization
  • Pharmacy
  • Accepts Insurance
  • CLIA Number: 39D2051245
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 12-16-2026

About THE MEDICINE SHOPPE 1975

This page provides the complete NPI Profile along with additional information for The Medicine Shoppe 1975, a provider established in Meadville, Pennsylvania operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1699045971 assigned on January 2012. The practitioner's primary taxonomy code is 333600000X with license number PP482201 (PA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as The Medicine Shoppe 1975. The authorized official of this NPI record is Mrs. Rebecca Ann Bercis Pharm.d. (Pharmacy Manager)

NPI
1699045971
Provider Legal Name
SOUTHERN ADVENTURES
Other Organization Name
THE MEDICINE SHOPPE 1975
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16332 CONNEAUT LAKE RD MEADVILLE, PA 16335
Location Phone
(814) 333-1121
Location Fax
(814) 337-7990
Mailing Address
16332 CONNEAUT LAKE RD MEADVILLE, PA 16335
Mailing Phone
(814) 333-1121
Mailing Fax
(814) 337-7990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2012
Last Update Date
12-09-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
PP482201
License State
PA
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. REBECCA ANN BERCIS PHARM.D.

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(814) 333-1121

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2051245
Facility Type
Hospice
Certificate Effective Date
December 17, 2024
Certificate Expiration Date
December 16, 2026
Laboratory Director
SELECE BEASLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Medicine Shoppe 1975 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699045971, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 0 + 4 + 1 + 0 + 9 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1699045971.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center
16332 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Clinic/Center
16332 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Counselor (Mental Health)
16332 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Counselor (Mental Health)
16332 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Emergency Medicine
16332 CONNEAUT LAKE RD
MEADVILLE, PA 16335
Physician Assistant (Medical)
16332 CONNEAUT LAKE RD
MEADVILLE, PA 16335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699045971, enumerated as an "organization" on January 04, 2012.

The provider is located at 16332 CONNEAUT LAKE RD MEADVILLE, PA 16335 and the phone number is (814) 333-1121.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.