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LAKEWOOD PEDIATRICS AND FAMILY MEDICINE
NPI 1881911840
Non-Pharmacy Dispensing Site in Durham, NC

Active since April 29, 2010
4003 N ROXBORO ST, DURHAM, NC 27704(919) 220-6317 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakewood Pediatrics And Family Medicine NPPES

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

LAKEWOOD PEDIATRICS AND FAMILY MEDICINE (NPI 1881911840) is a healthcare organization registered as a non-pharmacy dispensing site in Durham, North Carolina and active in the NPI registry since April 2010. The organization lists Kenny Heine, Sr. Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1881911840
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLAKEWOOD PEDIATRICS AND FAMILY MEDICINE
Location Address4003 N ROXBORO STDurham, NC 27704-2119
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(919) 220-6317
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr. Director Of Operations · (858) 625-2990
Enumeration DateApril 29, 2010
Last NPPES UpdateOctober 23, 2012
✔ NPI 1881911840 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 · 200300427
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.)
4003 N ROXBORO ST, Durham, NC 27704
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Other Providers at the Same Location NPPES 4

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

KIMBERLY RENEE BOGGS PA-C
Physician Assistant
4003 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 220-3333
JASMINE PAULINE HEMMINGS PA-C
Physician Assistant
4003 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 220-3333
MEGAN RENAE MOYLES NP-C
Nurse Practitioner (Family)
4003 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 220-3333
MRS. ANNA ELIZABETH TURNER FNP-C
Nurse Practitioner (Family)
4003 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 220-3333

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 Lakewood Pediatrics And Family Medicine's NPI number?

The NPI number for Lakewood Pediatrics And Family Medicine is 1881911840. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is Lakewood Pediatrics And Family Medicine located?

Lakewood Pediatrics And Family Medicine is located at 4003 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 220-6317.

What is Lakewood Pediatrics And Family 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 Lakewood Pediatrics And Family Medicine 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.