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BLOOD AND CANCER CLINIC, PA
NPI 1174747711
Non-Pharmacy Dispensing Site in Fayetteville, NC

Active since April 13, 2007
2125 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304(910) 483-8586(910) 483-9212 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blood And Cancer Clinic, Pa NPPES

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

BLOOD AND CANCER CLINIC, PA (NPI 1174747711) is a healthcare organization registered as a non-pharmacy dispensing site in Fayetteville, North Carolina and active in the NPI registry since April 2007. The organization lists Shirish D Devasthali, President, as its authorized official.

NPPES Registry Identity

NPI1174747711
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBLOOD AND CANCER CLINIC, PA
Location Address2125 VALLEYGATE DR, SUITE 101Fayetteville, NC 28304-3657
Mailing AddressPo Box 53095Fayetteville, NC 28305-3095 · (910) 483-8586 · Fax (910) 483-9212
Phone(910) 483-8586
Fax(910) 483-9212
Organization SubpartNo
Authorized OfficialShirish D DevasthaliPresident · (910) 483-8586
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174747711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
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.)
2125 VALLEYGATE DR, Fayetteville, NC 28304
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Other Identifiers 4

Other02699NC · Board Of Pharmacy
Other3400936NC · Ncpdp Number
Other38929NC · License Number
Other02701NC · Board Of Pharmacy

Other Providers at the Same Location NPPES 7

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

SHELLEY BARRY FOLLETT NP-C
Nurse Practitioner
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1322
SEEMA S DEVASTHALI PT
Physical Therapist
2125 VALLEYGATE DR, SUITE 101-A
FAYETTEVILLE, NC 28304
Cumberland County (910) 223-0729
LAFAYETTE CLINIC, PA
Allergy & Immunology
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1322
ALL AMERICAN REHABILITATION SOLUTIONS
Physical Therapist
2125 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 223-0729
AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Internal Medicine (Rheumatology)
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (561) 336-1600
KATHERINE COLE P.A.
Physician Assistant (Medical)
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1322
DR. GWENESTA BARNUM MELTON M.D.
Internal Medicine (Rheumatology)
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1322

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 Blood And Cancer Clinic, PA's NPI number?

The NPI number for Blood And Cancer Clinic, PA is 1174747711. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Blood And Cancer Clinic, PA located?

Blood And Cancer Clinic, PA is located at 2125 Valleygate Dr Suite 101, Fayetteville, NC 28304. The listed phone number is (910) 483-8586.

What is Blood And Cancer Clinic, PA'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 Blood And Cancer Clinic, PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.