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: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About KNIGHTDALE FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Knightdale Family Practice, a provider established in Knightdale, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1689804403 assigned on July 2009. The practitioner's primary taxonomy code is 332900000X with license number 9401111 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Kenny Heine (Director Of Operations)

NPI
1689804403 Verify this NPI
Provider Name
KNIGHTDALE FAMILY PRACTICE
Entity Type
Organization
Location Address
6905 KNIGHTDALE BLVD SUITE 106 KNIGHTDALE, NC 27545
Location Phone
(919) 266-6211
Mailing Address
5810 NANCY RIDGE DR 100 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-15-2009
Last Update Date
07-15-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
9401111
License State
NC
Taxonomy Description
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.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(858) 625-2990

Reviews for KNIGHTDALE FAMILY PRACTICE

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689804403, enumerated as an "organization" on July 15, 2009.

The provider is located at 6905 KNIGHTDALE BLVD SUITE 106 KNIGHTDALE, NC 27545 and the phone number is (919) 266-6211.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.