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FCMG CAMILLUS
NPI 1508277492
Non-Pharmacy Dispensing Site in Camillus, NY

Active since May 13, 2014
436 HINSDALE RD, CAMILLUS, NY 13031(315) 488-0996 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fcmg Camillus NPPES

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

FCMG CAMILLUS (NPI 1508277492) is a healthcare organization registered as a non-pharmacy dispensing site in Camillus, New York and active in the NPI registry since May 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1508277492
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAMILYCARE MEDICAL GROUP PC
Location Address436 HINSDALE RDCamillus, NY 13031-1648
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(315) 488-0996
Organization SubpartYesParent: Medvantx
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMay 13, 2014
✔ NPI 1508277492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NY · 155562
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.)
436 HINSDALE RD, Camillus, NY 13031
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Other Names 1

Doing Business AsFcmg Camillus

Other Providers at the Same Location NPPES 14

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

THOMAS J LACLAIR MD
Family Medicine
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 488-0996
MATTHEW KERTESZ RD
Dietitian, Registered
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 345-6803
JAMES FRANCIS LAWLESS MD
Family Medicine
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 488-0996
DAVID THURBER PAGE MD
Family Medicine
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 488-0996
KATHLEEN M O'CONNOR NP
Nurse Practitioner (Family)
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 488-0996
YOUR HEALTH YOUR CHOICE DIETETICS AND NUTRITION PLLC
Dietitian, Registered
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 345-6803
JORGE DAVID ALVARENGA MONTOYA MD
Family Medicine
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 488-0996
ALICE MILLER MD
Family Medicine
436 HINSDALE RD
CAMILLUS, NY 13031
Onondaga County (315) 488-0996

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 Familycare Medical Group PC's NPI number?

The NPI number for Familycare Medical Group PC is 1508277492. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as Fcmg Camillus.

Where is Familycare Medical Group PC located?

Familycare Medical Group PC is located at 436 Hinsdale Rd, Camillus, NY 13031. The listed phone number is (315) 488-0996.

What is Familycare Medical Group PC'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 Familycare Medical Group PC was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.