VIDANT IMMEDIATE CARE AHOSKIE
NPI 1659742690
Non-Pharmacy Dispensing Site in Ahoskie, NC

Q: What is Vidant Medical Group LLC's NPI number?

The NPI number for Vidant Medical Group LLC is 1659742690. It was assigned to this organization in the NPPES registry on October 16, 2015. The provider is doing business as Vidant Immediate Care Ahoskie.

Q: What is Vidant Medical Group LLC's specialty?

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

Active since October 16, 2015

226 ACADEMY ST S, AHOSKIE, NC 27910(252) 209-3911 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vidant Immediate Care Ahoskie NPPES

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

VIDANT IMMEDIATE CARE AHOSKIE (NPI 1659742690) is a healthcare organization registered as a non-pharmacy dispensing site in Ahoskie, North Carolina and active in the NPI registry since October 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1659742690

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameVIDANT MEDICAL GROUP LLC

Location Address226 ACADEMY ST SAhoskie, NC 27910-2451

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

Phone(252) 209-3911

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateOctober 16, 2015

✔ NPI 1659742690 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 · 2010-01183

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.)

226 ACADEMY ST S, Ahoskie, NC 27910

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Other Names 1

Doing Business AsVidant Immediate Care Ahoskie

Other Providers at the Same Location NPPES

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

MR. GERWYN EVANS HEATH LPA

Psychologist

226 ACADEMY ST S
AHOSKIE, NC 27910

Hertford County (252) 332-2540

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 Vidant Medical Group LLC's NPI number?

The NPI number for Vidant Medical Group LLC is 1659742690. It was assigned to this organization in the NPPES registry on October 16, 2015. The provider is doing business as Vidant Immediate Care Ahoskie.

Where is Vidant Medical Group LLC located?

Vidant Medical Group LLC is located at 226 Academy St S, Ahoskie, NC 27910. The listed phone number is (252) 209-3911.

What is Vidant Medical Group LLC'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 Vidant Medical Group LLC was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.