OrganizationActive
Medvantx,inc
NPI 1417090358 · Non-Pharmacy Dispensing Site · Erie, PA
Medvantx,inc is a Non-Pharmacy Dispensing Site organization in Erie, PA (NPI 1417090358).
Provider details
- NPI number
- 1417090358
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- MD053809L (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3330 Peach St
Suite 107
Erie, PA 16508-2769
Phone: (814) 877-5500
Street-level locationGet directions
Mailing address
5810 Nancy Ridge Dr
San Diego, CA 92121-2834
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Medvantx,inc's NPI number?
- Medvantx,inc's National Provider Identifier (NPI) is 1417090358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medvantx,inc?
- Medvantx,inc is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Medvantx,inc located?
- Medvantx,inc's practice location on file with NPPES is 3330 Peach St, Erie, PA 16508-2769.
- What is Medvantx,inc's phone number?
- The practice phone number listed in the NPPES registry for Medvantx,inc is (814) 877-5500.
- Who is the authorized official for Medvantx,inc?
- The authorized official listed on Medvantx,inc's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medvantx,inc's NPI active?
- Yes — Medvantx,inc's NPI (1417090358) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.