PHILOMATH FAMILY MEDICINE, P.C.
NPI 1003957911
Non-Pharmacy Dispensing Site in Philomath, OR

Active since February 12, 2007
1219 APPLEGATE, PHILOMATH, OR 97370(541) 929-2922 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philomath Family Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILOMATH FAMILY MEDICINE, P.C. (NPI 1003957911) is a healthcare organization registered as a non-pharmacy dispensing site in Philomath, Oregon and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003957911
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePHILOMATH FAMILY MEDICINE, P.C.
Location Address1219 APPLEGATEPhilomath, OR 97370
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 12, 2007
Last NPPES UpdateOctober 16, 2012
NPI 1003957911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in OR · MD10373
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1219 APPLEGATE, Philomath, OR 97370

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1219 APPLEGATE
PHILOMATH, OR 97370
Family Medicine
1219 APPLEGATE
PHILOMATH, OR 97370
Family Medicine
1219 APPLEGATE
PHILOMATH, OR 97370
Family Medicine
1219 APPLEGATE
PHILOMATH, OR 97370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philomath Family Medicine, P.C.'s NPI number?

The NPI number for Philomath Family Medicine, P.C. is 1003957911. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Philomath Family Medicine, P.C. located?

Philomath Family Medicine, P.C. is located at 1219 Applegate, Philomath, OR 97370. The listed phone number is (541) 929-2922.

What is Philomath Family Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Philomath Family Medicine, P.C. was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.