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BLACKSHEEP MEDICAL LLC
NPI 1992134712
Non-Pharmacy Dispensing Site in Ormond Beach, FL

Active since November 02, 2013
1425 HAND AVE, SUITE L, ORMOND BEACH, FL 32174(386) 256-3977 Get Directions Write a Review

NPPES record last updated: November 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blacksheep Medical Llc NPPES

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

BLACKSHEEP MEDICAL LLC (NPI 1992134712) is a healthcare organization registered as a non-pharmacy dispensing site in Ormond Beach, Florida and active in the NPI registry since November 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1992134712
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBLACKSHEEP MEDICAL LLC
Location Address1425 HAND AVE, SUITE LOrmond Beach, FL 32174-1135
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(386) 256-3977
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateNovember 2, 2013
✔ NPI 1992134712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · OS8215
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.)
1425 HAND AVE, Ormond Beach, FL 32174
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

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

ERICA RYANN HUDSON DPT
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535
JENNIFER LYNN YOUNG DPT
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535
VOLUSIA INTERNAL MEDICINE SPECIALISTS PA
Internal Medicine
1425 HAND AVE, SUITE F
ORMOND BEACH, FL 32174
Flagler County (386) 672-5466
JAY A KEESLING O.D.
Optometrist
1425 HAND AVE, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 673-2020
RICHARD A. JABLONSKI, DO PA
Ophthalmology
1425 HAND AVE, SUITE A
ORMOND BEACH, FL 32174
Flagler County (386) 673-3345
DR. JACOB COREY BARR DPT, MTC
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535
NANNINE KNOERZER DAHLEN P.T.
Physical Therapist
1425 HAND AVE
ORMOND BEACH, FL 32174
Flagler County (386) 299-3192
BRITTANY FORSTER DPT
Physical Therapist
1425 HAND AVE, SUITE H
ORMOND BEACH, FL 32174
Flagler County (386) 673-3535

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 Blacksheep Medical LLC's NPI number?

The NPI number for Blacksheep Medical LLC is 1992134712. It was assigned to this organization in the NPPES registry on November 2, 2013.

Where is Blacksheep Medical LLC located?

Blacksheep Medical LLC is located at 1425 Hand Ave Suite L, Ormond Beach, FL 32174. The listed phone number is (386) 256-3977.

What is Blacksheep Medical LLC'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 Blacksheep Medical LLC was last updated on November 2, 2013. 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.