MT. OLIVE FAMILY MEDICINE CENTER
NPI 1639491038
Non-Pharmacy Dispensing Site in Mount Olive, NC

NPI Status: Active since February 26, 2010

Contact Information

201 N BREAZEALE AVE
MOUNT OLIVE, NC
ZIP 28365
Phone: (919) 658-4954

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  • Organization
  • Non-Pharmacy Dispensing Site

About MT. OLIVE FAMILY MEDICINE CENTER

This page provides the complete NPI Profile along with additional information for Mt. Olive Family Medicine Center, a provider established in Mount Olive, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1639491038 assigned on February 2010. The practitioner's primary taxonomy code is 332900000X with license number 9801525 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Kenny Heine (Sr. Director Of Operations)

NPI
1639491038
Provider Name
MT. OLIVE FAMILY MEDICINE CENTER
Entity Type
Organization
Location Address
201 N BREAZEALE AVE MOUNT OLIVE, NC 28365
Location Phone
(919) 658-4954
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-26-2010
Last Update Date
10-23-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
9801525
License State
NC
Taxonomy Description
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.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
SR. DIRECTOR OF OPERATIONS
Authorized Official Phone
(858) 625-2990

Reviews for MT. OLIVE FAMILY MEDICINE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639491038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266989206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 9 + 2 + 0 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1639491038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518934082 THOMAS SCOTT DRAUGHON M.D.
Individual
Family Medicine201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1912974361 STEPHEN DOUGLAS FAIRCHILD PA-C
Individual
Physician Assistant201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1265409254 PEGGIE ROSE PARKS PA-C
Individual
Physician Assistant201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1467481762MT OLIVE FAMILY MEDICINE CENTER INC
Organization
Family Medicine201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1205825601 JEFFREY G HARRISON PA-C
Individual
Physician Assistant (Medical)201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1780071209LABORATORY CORPORATION OF AMERICA HOLDINGS
Organization
Clinical Medical Laboratory201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-5622
1609820463DR. VINCENT PAUL WILSON M.D.
Individual
Family Medicine201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1366151771 REBECCA LAVERICK LAT ATC
Individual
Specialist/Technologist (Athletic Trainer)201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1184880130 MISTY LYNN ROUSE PA-C
Individual
Physician Assistant201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954
1124250303DR. ASHLEY SWEENEY LONG PHD, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(828) 896-7803
1104108414MRS. STACEY M HILL PA-C
Individual
Physician Assistant201 N BREAZEALE AVE
MT OLIVE, NC 28365
(919) 658-4954
1609763564 BELINDA HIDALGO ESTRELLA FNP-C
Individual
Nurse Practitioner (Family)201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
(919) 658-4954

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639491038, enumerated in the NPI registry as an "organization" on February 26, 2010

The provider is located at 201 N Breazeale Ave Mount Olive, Nc 28365 and the phone number is (919) 658-4954

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on February 26, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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