BREEZEWOOD HEALTHCARE P A
NPI 1902212541
Non-Pharmacy Dispensing Site in Fayetteville, NC

Active since July 03, 2014
200 FORSYTHE ST, FAYETTEVILLE, NC 28303(910) 485-0700 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Breezewood Healthcare P A NPPES

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

BREEZEWOOD HEALTHCARE P A (NPI 1902212541) is a healthcare organization registered as a non-pharmacy dispensing site in Fayetteville, North Carolina and active in the NPI registry since July 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1902212541
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBREEZEWOOD HEALTHCARE P A
Location Address200 FORSYTHE STFayetteville, NC 28303-5426
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJuly 3, 2014
NPI 1902212541 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 · 30552
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.)
200 FORSYTHE ST, Fayetteville, NC 28303

Other Providers at the Same Location NPPES 10

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

General Practice
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Nurse Practitioner
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Obstetrics & Gynecology (Gynecology)
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Family Medicine
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Obstetrics & Gynecology (Gynecology)
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Allergy & Immunology
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Internal Medicine (Pulmonary Disease)
200 FORSYTHE ST
FAYETTEVILLE, NC 28303
Family Medicine (Sleep Medicine)
200 FORSYTHE ST
FAYETTEVILLE, NC 28303

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 Breezewood Healthcare P A's NPI number?

The NPI number for Breezewood Healthcare P A is 1902212541. It was assigned to this organization in the NPPES registry on July 3, 2014.

Where is Breezewood Healthcare P A located?

Breezewood Healthcare P A is located at 200 Forsythe St, Fayetteville, NC 28303. The listed phone number is (910) 485-0700.

What is Breezewood Healthcare P A'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 Breezewood Healthcare P A was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.