Organization · Type 2 NPI

Renaissance Family Practice, Inc.

Non-Pharmacy Dispensing Site · Pittsburgh, PA

NPI number 1760524912 Active

Practice location

619 Mount Royal Blvd
Pittsburgh, PA 15223-1225

Call (412) 487-4422 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	MD417572 (PA)

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.)

7 other providers at this address

Other non-pharmacy dispensing site providers in Pittsburgh

See all in Pittsburgh →

NPI record

NPI: 1760524912
Entity type: Organization (Type 2)
Issued: Feb 13, 2007
Last updated: Oct 17, 2012
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Renaissance Family Practice - Glenshaw · doing business as

Authorized official

Kenny Heine
Director of Operations
(858) 625-2990

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 1760524912

Renaissance Family Practice, Inc.'s National Provider Identifier is 1760524912, issued on Feb 13, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Pittsburgh, PA. The record was last updated on Oct 17, 2012.