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CRESCENT FAMILY PRACTICE, P.A.
NPI 1235279522
Non-Pharmacy Dispensing Site in Cary, NC

Active since February 07, 2007
1000 CRESCENT GREEN DR, SUITE 202, CARY, NC 27511(919) 851-7867 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crescent Family Practice, P.a. NPPES

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

CRESCENT FAMILY PRACTICE, P.A. (NPI 1235279522) is a healthcare organization registered as a non-pharmacy dispensing site in Cary, North Carolina and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1235279522
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCRESCENT FAMILY PRACTICE, P.A.
Location Address1000 CRESCENT GREEN DR, SUITE 202Cary, NC 27511-8116
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(919) 851-7867
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 7, 2007
Last NPPES UpdateOctober 22, 2012
✔ NPI 1235279522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NC · 39359
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.)

1000 CRESCENT GREEN DR, Cary, NC 27511
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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 Crescent Family Practice, P.A.'s NPI number?

The NPI number for Crescent Family Practice, P.A. is 1235279522. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Crescent Family Practice, P.A. located?

Crescent Family Practice, P.A. is located at 1000 Crescent Green Dr Suite 202, Cary, NC 27511. The listed phone number is (919) 851-7867.

What is Crescent Family Practice, P.A.'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 Crescent Family Practice, P.A. was last updated on October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.