MEDICARE: VETOVATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12218	OTHER	NC	NC PHARMACY LICENSE

General Provider Information

NPI Number	:	1588597264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VETOVATION

Provider Business Mailing Address
First Line	:	10804 SIX FORKS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-9516
Country	:	US
Telephone Number	:	919-345-8290
Fax Number	:

Provider Business Practice Location Address
First Line	:	10804 SIX FORKS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-9516
Country	:	US
Telephone Number	:	919-247-0328
Fax Number	:

Authorized Official
Title or Position	:	CONSULTANT
Name	:	DR. AMY MEWBORN MEADOWCROFT
Credential	:	PHARMD
Telephone Number	:	919-345-8290

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “VETOVATION ” Practice Location

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