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

Renaissance Family Practice, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1760524912

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

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

619 Mount Royal Blvd
Pittsburgh, PA 15223-1225
Phone: (412) 487-4422
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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 MD417572 (PA)

Record details

NPI number1760524912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
Other names Renaissance Family Practice - Glenshaw
NPI enumeratedFebruary 13, 2007
Last updated in NPPESOctober 17, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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