RADIANCE RX PLLC NPI 1083272553

NPI Information

  • NPI: 1083272553
  • Provider Name: RADIANCE RX PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 34D2122077
  • Address: 2046 CREEKSIDE LANDING DR
    APEX, NC
    ZIP 27502
  • Phone: (919) 303-4777

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NPI Details

RADIANCE RX PLLC is a general practice in Apex, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RADIANCE RX PLLC NPI is 1083272553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2046 CREEKSIDE LANDING DR
APEX, NC
ZIP 27502-982
Phone: (919) 303-4777

The provider's authorized official is Kami Convery .
The authorized official title is Insurance Dept and has the following contact phone number (919) 303-4777.

The CLIA number assigned to this NPI record is 34D2122077 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2019 and was last updated on 5/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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