Glory Medryde LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

GLORY MEDRYDE LLC

Practice address

12032 N Pennsylvania Ave
Oklahoma City, OK 73120-7827

Phone

(405) 907-4929

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Binui Embywai Ndze

Title

Owner

Phone

(405) 907-4929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1154197101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12032 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207827",
            "telephone_number": "405-907-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12032 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207827",
            "telephone_number": "405-907-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY MEDRYDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "NDZE",
        "authorized_official_first_name": "BINUI",
        "authorized_official_middle_name": "EMBYWAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-907-4929"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Broker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Transportation Broker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.