OrganizationActive
Hickory Family Practice
NPI 1053453829 · Non-Pharmacy Dispensing Site · Hickory, PA
Hickory Family Practice is a Non-Pharmacy Dispensing Site organization in Hickory, PA (NPI 1053453829).
Provider details
- NPI number
- 1053453829
- 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
- MD031278E (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4151 Henderson Rd
Hickory, PA 15340-1439
Phone: (724) 356-2273
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2012-10-17
Frequently asked questions
- What is Hickory Family Practice's NPI number?
- Hickory Family Practice's National Provider Identifier (NPI) is 1053453829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hickory Family Practice?
- Hickory Family Practice is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Hickory Family Practice located?
- Hickory Family Practice's practice location on file with NPPES is 4151 Henderson Rd, Hickory, PA 15340-1439.
- What is Hickory Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Hickory Family Practice is (724) 356-2273.
- Who is the authorized official for Hickory Family Practice?
- The authorized official listed on Hickory 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 Hickory Family Practice's NPI active?
- Yes — Hickory Family Practice's NPI (1053453829) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.