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

Knightdale Family Practice

Organization Non-Pharmacy Dispensing Site · NPI 1689804403

Knightdale Family Practice is a Non-Pharmacy Dispensing Site in Knightdale, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009

Practice location Address checks out

6905 Knightdale Blvd Ste 106
Knightdale, NC 27545-6505
Phone: (919) 266-6211
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 9401111 (NC)

Record details

NPI number1689804403
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedJuly 15, 2009
Last updated in NPPESJuly 15, 2009
Mailing address5810 Nancy Ridge Dr, 100, San Diego, CA 92121-2834