FAMILY WELLNESS CLINIC RALEIGH
NPI 1710331640
Non-Pharmacy Dispensing Site in Raleigh, NC

NPI Status: Active since April 18, 2016

Contact Information

8020 CREEDMOOR RD
RALEIGH, NC
ZIP 27613
Phone: (919) 322-2844

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Non-Pharmacy Dispensing Site

About FAMILY WELLNESS CLINIC RALEIGH

This page provides the complete NPI Profile along with additional information for Family Wellness Clinic Raleigh, a provider established in Raleigh, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1710331640 assigned on April 2016. The practitioner's primary taxonomy code is 332900000X with license number 0010-02907 (NC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Family Wellness Clinic Raleigh. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI: 1710331640
Provider Legal Name: RALEIGH DURHAM MEDICAL GROUP PA
Other Organization Name: FAMILY WELLNESS CLINIC RALEIGH
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 8020 CREEDMOOR RD RALEIGH, NC 27613
Location Phone: (919) 322-2844
Mailing Address: 9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 04-18-2016
Last Update Date: 04-18-2016
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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.: 0010-02907
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: VP OF OPERATIONS
Authorized Official Phone: (858) 964-1506

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	1	0	3	3	1	6	4	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	6	3	2	6	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 3 + 2 + 6 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1710331640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.