1. Home
  2. Directory
  3. North Carolina
  4. Chapel Hill
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

CHAPEL HILL INTERNAL MEDICINE
NPI 1417275637
Non-Pharmacy Dispensing Site in Chapel Hill, NC

Active since May 12, 2010CLIA 34D0239647 · Waiver
940 MARTIN LUTHER KING JR BLVD, CHAPEL HILL, NC 27514(919) 942-5123 Get Directions Write a Review

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

About Chapel Hill Internal Medicine NPPES

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

CHAPEL HILL INTERNAL MEDICINE (NPI 1417275637) is a healthcare organization registered as a non-pharmacy dispensing site in Chapel Hill, North Carolina and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Kenny Heine, Sr Director Operations, as its authorized official.

NPPES Registry Identity

NPI1417275637
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCHAPEL HILL INTERNAL MEDICINE
Location Address940 MARTIN LUTHER KING JR BLVDChapel Hill, NC 27514-2601
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(919) 942-5123
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr Director Operations · (858) 625-2990
Enumeration DateMay 12, 2010
Last NPPES UpdateOctober 23, 2012
✔ NPI 1417275637 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 · 35477
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.)
940 MARTIN LUTHER KING JR BLVD, Chapel Hill, NC 27514
Open in Google Maps ↗

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 34D0239647

Chapel Hill Internal Medicine · Chapel Hill, NC
Active · expires Dec 31, 2027
CLIA Number34D0239647
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Janelle L. Krasovich
Laboratory Phone(919) 942-5123
Laboratory LocationChapel Hill Internal Medicine940 Martin Luther King Jr Blvd, Chapel Hill, NC 27514
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 16

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

DR. MARGUERITE YAO MD
Internal Medicine
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
DR. LISA MCAVEY HARTMAN MD
Internal Medicine
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
MRS. SARAH A SAUNDERS PHYSICIAN ASSISANT
Physician Assistant (Medical)
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
MR. JOHN VRNAK PA-C
Physician Assistant
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
DR. JULIA WAI-CHI TANG MD
Internal Medicine (Gastroenterology)
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
JACK JOSEPH KURITZKY MD
Internal Medicine
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
DR. GEORGE BENNET BROTHERS JR. MD
Internal Medicine (Rheumatology)
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123
JAMIE BLASKO LCSWA
Social Worker
940 MARTIN LUTHER KING JR BLVD
CHAPEL HILL, NC 27514
Orange County (919) 942-5123

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 Chapel Hill Internal Medicine's NPI number?

The NPI number for Chapel Hill Internal Medicine is 1417275637. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Chapel Hill Internal Medicine located?

Chapel Hill Internal Medicine is located at 940 Martin Luther King Jr Blvd, Chapel Hill, NC 27514. The listed phone number is (919) 942-5123.

What is Chapel Hill Internal Medicine's specialty?

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

Does Chapel Hill Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0239647) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chapel Hill Internal Medicine was last updated on October 23, 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.