OrganizationActive
Blood and Cancer Clinic, PA
NPI 1174747711 · Non-Pharmacy Dispensing Site · Fayetteville, NC
Blood and Cancer Clinic, PA is a Non-Pharmacy Dispensing Site organization in Fayetteville, NC (NPI 1174747711).
Provider details
- NPI number
- 1174747711
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Shirish Devasthali, President(910) 483-8586
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 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
2125 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3657
Phone: (910) 483-8586
Fax: (910) 483-9212
Street-level locationGet directions
Mailing address
Po Box 53095
Fayetteville, NC 28305-3095
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Blood and Cancer Clinic, PA's NPI number?
- Blood and Cancer Clinic, PA's National Provider Identifier (NPI) is 1174747711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blood and Cancer Clinic, PA?
- Blood and Cancer Clinic, PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Blood and Cancer Clinic, PA located?
- Blood and Cancer Clinic, PA's practice location on file with NPPES is 2125 Valleygate Dr, Fayetteville, NC 28304-3657.
- What is Blood and Cancer Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Blood and Cancer Clinic, PA is (910) 483-8586.
- Who is the authorized official for Blood and Cancer Clinic, PA?
- The authorized official listed on Blood and Cancer Clinic, PA's NPPES record is Shirish Devasthali, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blood and Cancer Clinic, PA's NPI active?
- Yes — Blood and Cancer Clinic, PA's NPI (1174747711) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.