KNIGHTDALE FAMILY PRACTICE
NPI 1689804403
Non-Pharmacy Dispensing Site in Knightdale, NC

Active since July 15, 2009
6905 KNIGHTDALE BLVD, SUITE 106, KNIGHTDALE, NC 27545(919) 266-6211 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Knightdale Family Practice NPPES

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

KNIGHTDALE FAMILY PRACTICE (NPI 1689804403) is a healthcare organization registered as a non-pharmacy dispensing site in Knightdale, North Carolina and active in the NPI registry since July 2009. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1689804403
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameKNIGHTDALE FAMILY PRACTICE
Location Address6905 KNIGHTDALE BLVD, SUITE 106Knightdale, NC 27545-6505
Mailing Address5810 Nancy Ridge Dr, 100San Diego, CA 92121-2834
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateJuly 15, 2009
NPI 1689804403 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 · 9401111
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.)
6905 KNIGHTDALE BLVD, Knightdale, NC 27545

Other Providers at the Same Location NPPES 9

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

Family Medicine
6905 KNIGHTDALE BLVD, SUITE #106
KNIGHTDALE, NC 27545
Nurse Practitioner (Family)
6905 KNIGHTDALE BLVD, SUITE 106
KNIGHTDALE, NC 27545
Family Medicine
6905 KNIGHTDALE BLVD, STE 106
KNIGHTDALE, NC 27545
Family Medicine
6905 KNIGHTDALE BLVD
KNIGHTDALE, NC 27545
Family Medicine (Adult Medicine)
6905 KNIGHTDALE BLVD
KNIGHTDALE, NC 27545
Family Medicine
6905 KNIGHTDALE BLVD, SUITE 106
KNIGHTDALE, NC 27545
Specialist
6905 KNIGHTDALE BLVD, 103
KNIGHTDALE, NC 27545
Physical Therapist
6905 KNIGHTDALE BLVD, 102
KNIGHTDALE, NC 27545

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 Knightdale Family Practice's NPI number?

The NPI number for Knightdale Family Practice is 1689804403. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is Knightdale Family Practice located?

Knightdale Family Practice is located at 6905 Knightdale Blvd Suite 106, Knightdale, NC 27545. The listed phone number is (919) 266-6211.

What is Knightdale Family Practice'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 Knightdale Family Practice was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.