Individual provider Active NPI

Alonzo Jones

  • Medical Foods Supplier
  • Greensboro, NC
National Provider Identifier
1003393067
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Foods SupplierTaxonomy code 335G00000X
License
2848951 Issued in NC
Practice address
5617 Hornaday Rd
Unit J
Greensboro, NC 27409
Phone
(336) 987-9303
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Foods Supplier 335G00000X 2848951 NC Primary

Addresses

Primary practice location

5617 Hornaday Rd
Unit J
Greensboro, NC 27409

Mailing address

5617 Hornaday Rd Unit J
Greensboro, NC 27409-2924
Phone (336) 987-9303

Other identifiers 1

IdentifierTypeStateIssuer
41-2233656OtherNCTRIFECTATRANSPOTATION SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2848951NCMDMedical Foods Supplier

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1003393067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 HORNADAY RD UNIT J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092924",
            "telephone_number": "336-987-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 HORNADAY RD",
            "address_2": "UNIT J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27409",
            "telephone_number": "336-987-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALONZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "NC",
            "license": "2848951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIFECTATRANSPOTATION SERVICES",
            "identifier": "41-2233656",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.