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

Crescent Family Practice, PA

Organization Non-Pharmacy Dispensing Site · NPI 1235279522

Crescent Family Practice, PA is a Non-Pharmacy Dispensing Site in Cary, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

1000 Crescent Green Dr Ste 202
Cary, NC 27511-8116
Phone: (919) 851-7867
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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 39359 (NC)

Record details

NPI number1235279522
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 7, 2007
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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