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FRANKFORD AVENUE FAMILY PRACTICE P.C. NPI 1124160775


NPI Information

NPI: 1124160775
Provider Name: FRANKFORD AVENUE FAMILY PRACTICE, P.C.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 39D0199347

Address:
8846 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 332-8221
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FRANKFORD AVENUE FAMILY PRACTICE, P.C. is a non pharmacy dispensing site in Philadelphia, PA. The provider is 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.) FRANKFORD AVENUE FAMILY PRACTICE, P.C. NPI is 1124160775. The provider is registered as an organization entity type.

The provider's business location address is:

8846 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19136-313
Phone: (215) 332-8221

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 39D0199347 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 10/16/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteMD045687LPENNSYLVANIAYes

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: 11/14/2023

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