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GOLDSBORO MEDICAL CLINIC
NPI 1851627780
Non-Pharmacy Dispensing Site in Goldsboro, NC

Active since October 28, 2009
2400 WAYNE MEMORIAL DR, SUITE 1, GOLDSBORO, NC 27534(919) 739-9060 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Goldsboro Medical Clinic NPPES

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

GOLDSBORO MEDICAL CLINIC (NPI 1851627780) is a healthcare organization registered as a non-pharmacy dispensing site in Goldsboro, North Carolina and active in the NPI registry since October 2009. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1851627780
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameGOLDSBORO MEDICAL CLINIC
Location Address2400 WAYNE MEMORIAL DR, SUITE 1Goldsboro, NC 27534-1789
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(919) 739-9060
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateOctober 28, 2009
Last NPPES UpdateOctober 23, 2012
✔ NPI 1851627780 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 · 9600773
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.)
2400 WAYNE MEMORIAL DR, Goldsboro, NC 27534
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Other Providers at the Same Location NPPES 15

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

DR. JOHN E FIDLER JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
HANNAH LINDSAY BLACK
Advanced Practice Midwife
2400 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Wayne County (919) 587-3980
GOLDSBORO MEDICAL CLINIC PA
Internal Medicine
2400 WAYNE MEMORIAL DR, STE I
GOLDSBORO, NC 27534
Wayne County (919) 739-9060
CHRISTINE KABANGA ILUNGA M.D.
Internal Medicine (Nephrology)
2400 WAYNE MEMORIAL DR, SUITE D
GOLDSBORO, NC 27534
Wayne County (919) 734-0909
WAYNE HEALTH PHYSICIANS
Clinic/Center
2400 WAYNE MEMORIAL DR, SUITE J
GOLDSBORO, NC 27534
Wayne County (919) 587-4081
MR. JAMIE RYAN HAM NP-C
Nurse Practitioner (Family)
2400 WAYNE MEMORIAL DR, SUITE I
GOLDSBORO, NC 27534
Wayne County (919) 739-9060
DR. GREGORY J LUTCAVAGE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
WAYNESBOROUGH PSYCHOLOGICAL SERVICES
Psychologist
2400 WAYNE MEMORIAL DR, SUITE E
GOLDSBORO, NC 27534
Wayne County (919) 736-7900

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 Goldsboro Medical Clinic's NPI number?

The NPI number for Goldsboro Medical Clinic is 1851627780. It was assigned to this organization in the NPPES registry on October 28, 2009.

Where is Goldsboro Medical Clinic located?

Goldsboro Medical Clinic is located at 2400 Wayne Memorial Dr Suite 1, Goldsboro, NC 27534. The listed phone number is (919) 739-9060.

What is Goldsboro Medical 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 Goldsboro Medical Clinic was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.