Radiance RX PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RADIANCE RX PLLC

Practice address

2046 Creekside Landing Dr
Apex, NC 27502-3982

Phone

(919) 303-4777

NPI assigned

May 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kami Convery

Title

Insurance Dept

Phone

(919) 303-4777

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1083272553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 CREEKSIDE LANDING DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023982",
            "telephone_number": "919-303-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 CREEKSIDE LANDING DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023982",
            "telephone_number": "919-303-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE RX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "CONVERY",
        "authorized_official_first_name": "KAMI",
        "authorized_official_title_or_position": "INSURANCE DEPT",
        "authorized_official_telephone_number": "919-303-4777"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@apexmedskin.com",
            "affiliation": "N",
            "address_1": "2046 Creekside Landing Dr",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275023982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Physician in Apex, NC
• Providers in Apex, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.