OrganizationActive
North East Family Practice
NPI 1003064924 · Non-Pharmacy Dispensing Site · North East, PA
North East Family Practice is a Non-Pharmacy Dispensing Site organization in North East, PA (NPI 1003064924).
Provider details
- NPI number
- 1003064924
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- OS006274L (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 E Main St
North East, PA 16428-1330
Phone: (814) 725-8774
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2012-10-23
Frequently asked questions
- What is North East Family Practice's NPI number?
- North East Family Practice's National Provider Identifier (NPI) is 1003064924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North East Family Practice?
- North East Family Practice is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is North East Family Practice located?
- North East Family Practice's practice location on file with NPPES is 115 E Main St, North East, PA 16428-1330.
- What is North East Family Practice's phone number?
- The practice phone number listed in the NPPES registry for North East Family Practice is (814) 725-8774.
- Who is the authorized official for North East Family Practice?
- The authorized official listed on North East Family Practice's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North East Family Practice's NPI active?
- Yes — North East Family Practice's NPI (1003064924) is active in the NPPES registry as of the last update on 2012-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.