Healthcare Provider Details

I. General information

NPI: 1407787971
Provider Name (Legal Business Name): JOHN RAPACZ JR. PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 DOCTORS DR
SANFORD NC
27330-5057
US

IV. Provider business mailing address

3 BAY CT
PINEHURST NC
28374-8677
US

V. Phone/Fax

Practice location:
  • Phone: 919-292-2220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: