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WESTERN WAKE INTERNAL MEDICINE
NPI 1811209901
Non-Pharmacy Dispensing Site in Cary, NC

Active since July 06, 2010
907 KILDAIRE FARM RD, CARY, NC 27511(919) 319-6610 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Wake Internal Medicine NPPES

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

WESTERN WAKE INTERNAL MEDICINE (NPI 1811209901) is a healthcare organization registered as a non-pharmacy dispensing site in Cary, North Carolina and active in the NPI registry since July 2010. The organization lists Kenny Heine, Sr Director Operations, as its authorized official.

NPPES Registry Identity

NPI1811209901
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWESTERN WAKE INTERNAL MEDICINE
Location Address907 KILDAIRE FARM RDCary, NC 27511-3922
Mailing Address5810 Nancy Ridge Dr, 100San Diego, CA 92121-2834
Phone(919) 319-6610
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr Director Operations · (858) 625-2990
Enumeration DateJuly 6, 2010
✔ NPI 1811209901 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 · 9801744
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.)
907 KILDAIRE FARM RD, Cary, NC 27511
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Other Providers at the Same Location NPPES 8

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

SARAH ADRIENNE ASSANTE PA-C
Physician Assistant
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 319-6610
JACQUELYN NICOLE BARISH FNP-C
Nurse Practitioner (Family)
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 319-6610
WAKE NEUROPATHY P.A.
Chiropractor
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 400-3571
PIEDMONT CLINIC OF CHIROPRACTIC
Chiropractor
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (803) 932-8555
DR. RAJ POLAVARAM MD
Internal Medicine
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 319-6610
DR. SEAN PHILLIPS D.C.
Chiropractor
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 400-3571
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC
Internal Medicine (Geriatric Medicine)
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 319-6610
WESTERN WAKE INTERNAL MEDICINE
Internal Medicine
907 KILDAIRE FARM RD
CARY, NC 27511
Wake County (919) 319-6610

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 Western Wake Internal Medicine's NPI number?

The NPI number for Western Wake Internal Medicine is 1811209901. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Western Wake Internal Medicine located?

Western Wake Internal Medicine is located at 907 Kildaire Farm Rd, Cary, NC 27511. The listed phone number is (919) 319-6610.

What is Western Wake Internal Medicine'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 Western Wake Internal Medicine was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.