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RADIANCE RX PLLC
NPI 1083272553
General Practice in Apex, NC

Active since May 30, 2019CLIA 34D2122077 · Waiver
2046 CREEKSIDE LANDING DR, APEX, NC 27502(919) 303-4777 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radiance Rx Pllc NPPES

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

RADIANCE RX PLLC (NPI 1083272553) is a healthcare organization registered as a general practice in Apex, North Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Kami Convery, Insurance Dept, as its authorized official.

NPPES Registry Identity

NPI1083272553
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRADIANCE RX PLLC
Location Address2046 CREEKSIDE LANDING DRApex, NC 27502-3982
Mailing Address2046 Creekside Landing DrApex, NC 27502-3982 · (919) 303-4777
Phone(919) 303-4777
Organization SubpartNo
Authorized OfficialKami ConveryInsurance Dept · (919) 303-4777
Enumeration DateMay 30, 2019
✔ NPI 1083272553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2046 CREEKSIDE LANDING DR, Apex, NC 27502
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2122077

Radiance Rx, PLLC · Apex, NC
Active · expires Nov 17, 2026
CLIA Number34D2122077
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorPeter A. Kreymerman
Laboratory Phone(919) 303-4777
Laboratory LocationRadiance Rx, PLLC2046 Creekside Landing Drive, Apex, NC 27502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

CYNTHIA STUMPF CLEARY PA-C
Physician Assistant
2046 CREEKSIDE LANDING DR
APEX, NC 27502
Wake County (919) 303-4777
MR. JOHN ARTHUR GANTT PA
Physician Assistant (Medical)
2046 CREEKSIDE LANDING DR
APEX, NC 27502
Wake County (919) 303-4777
COURTNEY HUMPHREY PA-C
Physician Assistant (Medical)
2046 CREEKSIDE LANDING DR
APEX, NC 27502
Wake County (919) 303-4777
THE SKIN INSTITUTE OF CAROLINA
Community Health Worker
2046 CREEKSIDE LANDING DR
APEX, NC 27502
Wake County (919) 303-4777
APEX MEDICAL SKIN & AESTHETICS PA
General Practice
2046 CREEKSIDE LANDING DR
APEX, NC 27502
Wake County (919) 303-4777
AMANDA BARFIELD APRN, FNP-BC
Nurse Practitioner (Family)
2046 CREEKSIDE LANDING DR
APEX, NC 27502
Wake County (919) 303-4777

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 Radiance Rx PLLC's NPI number?

The NPI number for Radiance Rx PLLC is 1083272553. It was assigned to this organization in the NPPES registry on May 30, 2019.

Where is Radiance Rx PLLC located?

Radiance Rx PLLC is located at 2046 Creekside Landing Dr, Apex, NC 27502. The listed phone number is (919) 303-4777.

What is Radiance Rx PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Radiance Rx PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2122077) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Radiance Rx PLLC was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.