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

Breezewood Healthcare P A

Organization Non-Pharmacy Dispensing Site · NPI 1902212541

Breezewood Healthcare P A is a Non-Pharmacy Dispensing Site in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014

Practice location Address checks out

200 Forsythe St
Fayetteville, NC 28303-5426
Phone: (910) 485-0700
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 30552 (NC)

Record details

NPI number1902212541
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
NPI enumeratedJuly 3, 2014
Last updated in NPPESJuly 3, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

Other providers in Fayetteville