Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annandale Family Practice LLC

Organization Non-Pharmacy Dispensing Site · NPI 1467793141

Annandale Family Practice LLC is a Non-Pharmacy Dispensing Site in Lebanon, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

56 Payne Rd Ste 21
Lebanon, NJ 08833-3262
Phone: (908) 238-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 25MA07764100 (NJ)

Record details

NPI number1467793141
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Annandale Family Practice
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705