North East Family Practice
Non-pharmacy Dispensing Site
115 E Main St, North East
Pennsylvania, 16428-1330
814-725-8774 North East Family Practice is not a DME supplier for medicare equipments and products.
North East Family Practice is a Non-pharmacy Dispensing Site in North East, Pennsylvania. This organization is also known as sub part of Medvantx, Inc.. It is located at 115 E Main St, North East and it's customer support contact number is 814-725-8774. The authorized person of North East Family Practice is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of North East Family Practice is OS006274L for Non-pharmacy Dispensing Site in Pennsylvania.
North East Family Practice 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:
North East Family Practice 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: | North East Family Practice |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 115 E Main St, North East, Pennsylvania, 16428-1330 |
| Phone: | 814-725-8774 |
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: | Director Of Operations |
| Contact Number: | 858-625-2990 |
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: | 1003064924 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 04 Sep, 2008 |
| NPI Last Update On: | 23 Oct, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for North East Family Practice are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | OS006274L | Pennsylvania | 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 North East Family Practice at
115 E Main St, North East, Pennsylvania or can
call on customer care at 814-725-8774.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.