Northway Medical Associates Pllc
Non-pharmacy Dispensing Site
21 N 2nd St, Fulton
New York, 13069-1250
315-598-7105 Northway Medical Associates Pllc is a Non-pharmacy Dispensing Site in Fulton, New York. This organization is also known as sub part of Medvantx, Inc.. It is located at 21 N 2nd St, Fulton and it's customer support contact number is 315-598-7105. The authorized person of Northway Medical Associates Pllc is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Northway Medical Associates Pllc is 211928 for Non-pharmacy Dispensing Site in New York.
Northway Medical Associates Pllc 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:
Northway Medical Associates Pllc 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: | Northway Medical Associates Pllc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 21 N 2nd St, Fulton,
New York, 13069-1250 |
| Phone: | 315-598-7105 |
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: | 1356765689 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 06 Feb, 2014 |
| NPI Last Update On: | 06 Feb, 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 Northway Medical Associates Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 211928 | 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 Northway Medical Associates Pllc at
21 N 2nd St, Fulton, New York or can
call on customer care at 315-598-7105.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.