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Export Provider Record NPI 1205007150
White Rose Family Practice, Llc
Organization Subpart: YES
Active
NPI Number1205007150
NPI TypeNPI-2 Organization
SpecialtyNon-Pharmacy Dispensing Site
Provider Details
NPI1205007150
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-03-19
Last Updated2012-10-22
Authorized OfficialKenny Heine
Director of Operations
Phone: 8586252990
Mailing Address5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
United States
Phone: (858) 625-2990
📍 View Map
Primary Practice Address80 Wyntre Brooke Dr
York, PA 17403-4535
United States
Phone: (717) 741-9462
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes332900000X – Non-Pharmacy Dispensing SitePAMD029585
Export Provider Record NPI 1205007150
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About NPI 1205007150

White Rose Family Practice, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1205007150. The primary specialty listed is Non-Pharmacy Dispensing Site. The organization is located in York, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-03-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1205007150?

NPI 1205007150 belongs to White Rose Family Practice, Llc, a Non-Pharmacy Dispensing Site in York, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1205007150 active?

The current status of NPI 1205007150 in the NPPES registry is Active. The record was last updated on 2012-10-22.

What specialty is NPI 1205007150?

NPI 1205007150 is classified under the taxonomy Non-Pharmacy Dispensing Site. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1205007150?

You can verify NPI 1205007150 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1205007150?

The primary practice address on file for NPI 1205007150 is 80 Wyntre Brooke Dr, York, PA 17403-4535. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1205007150 issued?

NPI 1205007150 was first issued (enumerated) on 2008-03-19. The NPPES record was last updated on 2012-10-22.

Practice Location Map

White Rose Family Practice, Llc is located at 80 Wyntre Brooke Dr, York, PA. Use the map below to find directions or verify the practice location.

📍 80 Wyntre Brooke Dr, York, PA 17403-4535  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as White Rose Family Practice, Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1205007150. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Non-Pharmacy Dispensing SiteMD029585PA
Data Verified from CMS NPPES Last synced: 2026-08-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162