HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC
NPI 1447392469
Non-Pharmacy Dispensing Site in Pawtucket, RI

Active since February 13, 2007
727 EAST AVE, PAWTUCKET, RI 02860(401) 724-6160 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hillside Avenue Family And Community Medicine, Llc NPPES

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

HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC (NPI 1447392469) is a healthcare organization registered as a non-pharmacy dispensing site in Pawtucket, Rhode Island and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1447392469
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameHILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC
Location Address727 EAST AVEPawtucket, RI 02860-6184
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 13, 2007
Last NPPES UpdateOctober 17, 2012
NPI 1447392469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in RI · MD06978
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.)
727 EAST AVE, Pawtucket, RI 02860

Accepted Insurance

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.

Nurse Practitioner
727 EAST AVE
PAWTUCKET, RI 02860
Dietitian, Registered
727 EAST AVE
PAWTUCKET, RI 02860
Family Medicine
727 EAST AVE
PAWTUCKET, RI 02860
Nurse Practitioner
727 EAST AVE, SUITE 100
PAWTUCKET, RI 02860
Family Medicine
727 EAST AVE
PAWTUCKET, RI 02860
Pharmacist
727 EAST AVE
PAWTUCKET, RI 02860
Nurse Practitioner
727 EAST AVE
PAWTUCKET, RI 02860
Physical Therapist
727 EAST AVE
PAWTUCKET, RI 02860

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 Hillside Avenue Family And Community Medicine, LLC's NPI number?

The NPI number for Hillside Avenue Family And Community Medicine, LLC is 1447392469. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Hillside Avenue Family And Community Medicine, LLC located?

Hillside Avenue Family And Community Medicine, LLC is located at 727 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 724-6160.

What is Hillside Avenue Family And Community Medicine, LLC's specialty?

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

What insurance does Hillside Avenue Family And Community Medicine, LLC accept?

Health plans from Sanford Health Plan list Hillside Avenue Family And Community Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hillside Avenue Family And Community Medicine, LLC was last updated on October 17, 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.