LENOIR FAMILY MEDICINE PA (NPI# 1528484375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528484375 |
| Entity Type | Organization |
| Organization Name | LENOIR FAMILY MEDICINE PA |
| Other Organization Name | LENOIR FAMILY MEDICINE |
| Practice Address |
107 Airport Rd Kinston NC 28501-1603 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 2525274146 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 32676 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Lenoir Family Medicine | Doing Business As Name - Organization |
| Street Address |
107 AIRPORT RD |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992805626 | Derek Scott Weatherdon | Family Medicine | 107 Airport Rd, Kinston, NC 28501-1603 | 2006-09-23 |
| 1033478326 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 107 Airport Rd, Kinston, NC 28501-1603 | 2012-05-08 |
| 1730404880 | Amy Maples Kornegay | Physician Assistant | 107 Airport Rd, Kinston, NC 28501-1603 | 2010-04-01 |
| 1417283268 | Juan R Aviles | Family Medicine | 107 Airport Rd, Kinston, NC 28501-1603 | 2009-10-29 |
| 1275708687 | Fernando Armando Escabi Mendez | Family Medicine | 107 Airport Rd, Kinston, NC 28501-1603 | 2008-04-25 |
| 1437250321 | Lenoir Family Medicine, Pa | Family Medicine | 107 Airport Rd, Kinston, NC 28501-1603 | 2006-09-26 |
| 1871693507 | Joseph Edwards Agsten | Family Medicine | 107 Airport Rd, Kinston, NC 28501-1603 | 2006-09-23 |
| 1295835924 | Laddie Moore Crisp Jr. | Family Medicine | 107 Airport Rd, Kinston, NC 28501-1603 | 2006-09-23 |
| 1083714711 | Carlton Andrew Crain | Physician Assistant | 107 Airport Rd, Kinston, NC 28501-1603 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669841516 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 2908 N Herritage St, Kinston, NC 28501-1580 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1417321381 | Urgent Cares of America Nc Inc | Non-Pharmacy Dispensing Site | 5214 Market St, Wilmington, NC 28405-4067 | 2015-11-16 |
| 1003280033 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 825 Blowing Rock Blvd, Lenoir, NC 28645-3709 | 2015-11-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1740650456 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 220 Us Highway 70 West, Garner, NC 27529 | 2015-10-07 |
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1922478205 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 910 N Madison Blvd, Suite B, Roxboro, NC 27573-4573 | 2015-09-30 |
| 1942679519 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 511 Smoky Park Hwy, Candler, NC 28715-8613 | 2015-09-24 |
| 1164891016 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2015-09-22 |
| 1811363674 | Unc Physicians Network, LLC | Non-Pharmacy Dispensing Site | 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.