Reyboze LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REYBOZE LLC

Doing business as

Docs pharmacy Inc
Reyboze Homecare Agency

Practice address

2860 Freedom Dr # B
Charlotte, NC 28208-3856

Phone

(302) 559-2726

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Michael Ilodigwe, DR.

Title

President

Phone

(302) 559-2726

Specialties & licenses 1

Addresses

Other names 2

• Docs pharmacy Inc Doing business as
• Reyboze Homecare Agency Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1154944353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 FREEDOM DR # B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083856",
            "telephone_number": "302-559-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 FREEDOM DR # B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083856",
            "telephone_number": "302-559-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYBOZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "ILODIGWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-559-2726",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHARLOTTE",
            "affiliation": "N",
            "address_1": "2860 Freedom Dr # B",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282083856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Docs pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Docs pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reyboze Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.