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RALEIGH FAMILY PRACTICE, P.A.
NPI 1255592283
Non-Pharmacy Dispensing Site in Raleigh, NC

Active since June 23, 2008
4414 LAKE BOONE TRL, 502, RALEIGH, NC 27607(919) 875-0539 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raleigh Family Practice, P.a. NPPES

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

RALEIGH FAMILY PRACTICE, P.A. (NPI 1255592283) is a healthcare organization registered as a non-pharmacy dispensing site in Raleigh, North Carolina and active in the NPI registry since June 2008. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1255592283
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameRALEIGH FAMILY PRACTICE, P.A.
Location Address4414 LAKE BOONE TRL, 502Raleigh, NC 27607-7513
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(919) 875-0539
Organization SubpartYesParent: Medvantx Inc
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateJune 23, 2008
Last NPPES UpdateOctober 22, 2012
✔ NPI 1255592283 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 · 23998
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.)
4414 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

RALEIGH OB/GYN CENTRE, PA
Specialist
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 875-8225
DR. MYRA LYNN TEASLEY M.D.
Specialist
4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Wake County (919) 781-5510
SACHIN S MUDVARI MD
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607
Wake County (919) 782-8038
STOCKS SURGICAL CENTER, PLLC
Specialist
4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Wake County (919) 850-0880
ERIN C. BURNETTE NP
Nurse Practitioner (Family)
4414 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 781-5510
NORTH RALEIGH CARDIOVASCULAR DISEASES PA
Specialist
4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607
Wake County (919) 790-0130
DR. JENIFER RAE BRISCOE-BRIMMAGE MD
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 876-8225
MR. JAMES GLENDON TRENNER P.A.-C
Physician Assistant (Medical)
4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607
Wake County (919) 875-0539

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 Raleigh Family Practice, P.A.'s NPI number?

The NPI number for Raleigh Family Practice, P.A. is 1255592283. It was assigned to this organization in the NPPES registry on June 23, 2008.

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

Raleigh Family Practice, P.A. is located at 4414 Lake Boone Trl 502, Raleigh, NC 27607. The listed phone number is (919) 875-0539.

What is Raleigh 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 Raleigh Family Practice, P.A. was last updated on October 22, 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.