FRANKFORD AVENUE FAMILY PRACTICE, P.C.
NPI 1124160775
Non-Pharmacy Dispensing Site in Philadelphia, PA

Active since February 12, 2007CLIA 39D0199347 · Waiver
8846 FRANKFORD AVE, PHILADELPHIA, PA 19136(215) 332-8221 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Frankford Avenue Family Practice, P.c. NPPES

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

FRANKFORD AVENUE FAMILY PRACTICE, P.C. (NPI 1124160775) is a healthcare organization registered as a non-pharmacy dispensing site in Philadelphia, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124160775
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFRANKFORD AVENUE FAMILY PRACTICE, P.C.
Location Address8846 FRANKFORD AVEPhiladelphia, PA 19136-1313
Mailing Address5626 Oberlin Dr, Suite110San 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 1124160775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in PA · MD045687L
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.)
8846 FRANKFORD AVE, Philadelphia, PA 19136

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 39D0199347

Frankford Avenue Family Practice PC · Philadelphia, PA
Active · expires Mar 7, 2028
CLIA Number39D0199347
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorPaul H. Miller Do
Laboratory Phone(215) 332-8221
Laboratory LocationFrankford Avenue Family Practice PC8846 Frankford Avenue, Philadelphia, PA 19136
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 5

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

Family Medicine
8846 FRANKFORD AVE
PHILADELPHIA, PA 19136
Clinic/Center
8846 FRANKFORD AVE
PHILADELPHIA, PA 19136
Family Medicine
8846 FRANKFORD AVE
PHILADELPHIA, PA 19136
Family Medicine
8846 FRANKFORD AVE
PHILADELPHIA, PA 19136
Family Medicine
8846 FRANKFORD AVE
PHILADELPHIA, PA 19136

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 Frankford Avenue Family Practice, P.C.'s NPI number?

The NPI number for Frankford Avenue Family Practice, P.C. is 1124160775. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Frankford Avenue Family Practice, P.C. located?

Frankford Avenue Family Practice, P.C. is located at 8846 Frankford Ave, Philadelphia, PA 19136. The listed phone number is (215) 332-8221.

What is Frankford Avenue Family Practice, P.C.'s specialty?

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

Does Frankford Avenue Family Practice, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0199347) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frankford Avenue Family Practice, P.C. was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.