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

Hickory Family Practice

Organization Non-Pharmacy Dispensing Site · NPI 1053453829

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

Licensed in
PA
In the registry since
2007

Practice location Address checks out

4151 Henderson Rd
Hickory, PA 15340-1439
Phone: (724) 356-2273
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 MD031278E (PA)

Record details

NPI number1053453829
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 17, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705