Family Medicine Associates Of Ithaca
Non-pharmacy Dispensing Site
209 W State St, Ithaca
New York, 14850-5429
607-277-4341 Family Medicine Associates Of Ithaca is not a DME supplier for medicare equipments and products.
Family Medicine Associates Of Ithaca is a Non-pharmacy Dispensing Site in Ithaca, New York. This organization is also known as sub part of Medvantx, Inc.. It is located at 209 W State St, Ithaca and it's customer support contact number is 607-277-4341. The authorized person of Family Medicine Associates Of Ithaca is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Family Medicine Associates Of Ithaca is 143456 for Non-pharmacy Dispensing Site in New York.
Family Medicine Associates Of Ithaca 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.)
Pharmacy Details:
Family Medicine Associates Of Ithaca type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Family Medicine Associates Of Ithaca |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 209 W State St, Ithaca, New York, 14850-5429 |
| Phone: | 607-277-4341 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013324318 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 18 Jul, 2014 |
| NPI Last Update On: | 21 Jul, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Family Medicine Associates Of Ithaca are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 143456 | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110 San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Family Medicine Associates Of Ithaca at
209 W State St, Ithaca, New York or can
call on customer care at 607-277-4341.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.