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

North East Family Practice

Organization Non-Pharmacy Dispensing Site · NPI 1003064924

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

Licensed in
PA
In the registry since
2008

Practice location Address checks out

115 E Main St
North East, PA 16428-1330
Phone: (814) 725-8774
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 OS006274L (PA)

Record details

NPI number1003064924
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedSeptember 4, 2008
Last updated in NPPESOctober 23, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

Other providers in North East