FASTMED URGENT CARE OF SANFORD
NPI 1235474214
Non-Pharmacy Dispensing Site in Sanford, NC

Q: What is Urgent Cares Of America North Carolina Inc's specialty?

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

Active since December 03, 2012CLIA 34D2025232 · Waiver

724 S HORNER BLVD, SANFORD, NC 27330(919) 776-6767 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Fastmed Urgent Care Of Sanford NPPES

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

FASTMED URGENT CARE OF SANFORD (NPI 1235474214) is a healthcare organization registered as a non-pharmacy dispensing site in Sanford, North Carolina and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1235474214

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameURGENT CARES OF AMERICA NORTH CAROLINA INC

Location Address724 S HORNER BLVDSanford, NC 27330-4822

Mailing Address9276 Scranton Rd, 100San Diego, CA 92121-7701

Phone(919) 776-6767

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Ops · (858) 964-1506

Enumeration DateDecember 3, 2012

Last NPPES UpdateMay 12, 2016

✔ NPI 1235474214 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 · 0010-04042

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.)

724 S HORNER BLVD, Sanford, NC 27330

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Other Names 1

Doing Business AsFastmed Urgent Care Of Sanford

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 34D2025232

Fastmed · Sanford, NC

Active · expires Jun 2, 2027

CLIA Number34D2025232

Laboratory TypePhysician Office

Certificate Effective DateJune 3, 2025

Certificate Expiration DateJune 2, 2027

Laboratory DirectorThomas Brant

Laboratory Phone(919) 776-6767

Laboratory LocationFastmed724 South Horner Blvd, Sanford, NC 27330

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.

MR. ROGER CORDIAL PAC

Physician Assistant (Medical)