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

Derienzo Family Practice, PC

Organization Non-Pharmacy Dispensing Site · NPI 1982873105

Derienzo Family Practice, PC is a Non-Pharmacy Dispensing Site in Charleroi, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

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

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Practice location Address checks out

17 Arentzen Blvd 101
Charleroi, PA 15022-1085
Phone: (724) 483-3581
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 MD053835L (PA)

Record details

NPI number1982873105
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 21, 2008
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705