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TARBORO CLINIC
NPI 1760712426
Non-Pharmacy Dispensing Site in Tarboro, NC

Active since December 31, 2009
101 CLINIC DR, TARBORO, NC 27886(252) 823-2105 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tarboro Clinic NPPES

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

TARBORO CLINIC (NPI 1760712426) is a healthcare organization registered as a non-pharmacy dispensing site in Tarboro, North Carolina and active in the NPI registry since December 2009. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1760712426
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTARBORO CLINIC
Location Address101 CLINIC DRTarboro, NC 27886-1935
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(252) 823-2105
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateDecember 31, 2009
Last NPPES UpdateFebruary 2, 2016
✔ NPI 1760712426 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 · 35236
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.)
101 CLINIC DR, Tarboro, NC 27886
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Other Providers at the Same Location NPPES 20

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

DR. ANGELA B MEBANE MD
Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-8262
CRYSTAL LEIGH BAKER FNP
Urology
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-2105
MERIDITH MATTHIS TAYLOR M.D.
Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 822-6221
DR. BRADFORD KARSTEN BILICKI D.O.
Surgery
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-2105
MRS. COURTNEY PADRICK GREENE AGNP-C
Nurse Practitioner
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-2105
KIMBERLY ANN OBRIEN PA-C
Physician Assistant (Surgical)
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-4245
DR. GREGORY JAY STARK MD
Pediatrics
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-2105
MICHELLE HOLTON RPH
Pharmacist
101 CLINIC DR
TARBORO, NC 27886
Edgecombe County (252) 823-3178

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 Tarboro Clinic's NPI number?

The NPI number for Tarboro Clinic is 1760712426. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Tarboro Clinic located?

Tarboro Clinic is located at 101 Clinic Dr, Tarboro, NC 27886. The listed phone number is (252) 823-2105.

What is Tarboro Clinic'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 Tarboro Clinic was last updated on February 2, 2016. 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.