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

Frankford Avenue Family Practice, PC

Organization Non-Pharmacy Dispensing Site · NPI 1124160775

Frankford Avenue Family Practice, PC is a Non-Pharmacy Dispensing Site in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

8846 Frankford Ave
Philadelphia, PA 19136-1313
Phone: (215) 332-8221
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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 MD045687L (PA)

Record details

NPI number1124160775
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 12, 2007
Last updated in NPPESOctober 16, 2012
Mailing address5626 Oberlin Dr, Suite110, San Diego, CA 92121-1705

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