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

Beckford Avenue Medical Center PA

Organization Non-Pharmacy Dispensing Site · NPI 1700049418

Beckford Avenue Medical Center PA is a Non-Pharmacy Dispensing Site in Henderson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

176 S Beckford Dr
Henderson, NC 27536-2584
Phone: (252) 492-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 23579 (NC)

Record details

NPI number1700049418
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx Inc
Authorized official Kenny Heine — Director Of Operations · 85896252990
Other names Beckford Avenue Medical Center
NPI enumeratedJuly 3, 2008
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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