Organization · Type 2 NPI

Piedmont Adult & Pediatric Medicine Associates, PA

Non-Pharmacy Dispensing Site · Gastonia, NC

NPI number 1134462633 Active

Practice location

640 Summit Crossing Pl, Suite 204
Gastonia, NC 28054-2138

Call (704) 865-0626 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	9500419 (NC)

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.)

14 other providers at this address

NPI record

NPI: 1134462633
Entity type: Organization (Type 2)
Issued: Apr 3, 2013
Last updated: Apr 3, 2013
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Piedmont Adult and Pediatric Medicine Assoc · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1134462633

Piedmont Adult & Pediatric Medicine Associates, PA's National Provider Identifier is 1134462633, issued on Apr 3, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Gastonia, NC. The record was last updated on Apr 3, 2013.