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

Raleigh Family Practice, PA

Organization Non-Pharmacy Dispensing Site · NPI 1255592283

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

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

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Practice location Address checks out

4414 Lake Boone Trl 502
Raleigh, NC 27607-7513
Phone: (919) 875-0539
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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 23998 (NC)

Record details

NPI number1255592283
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedJune 23, 2008
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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