Kwik Trip LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

KWIK TRIP LLC

Doing business as

Fred Jerome Miller

Practice address

1727 Westchester Dr
High Point, NC 27262-7008

Phone

(336) 885-0799

Fax

(336) 885-0801

NPI assigned

May 27, 2020

Last updated

May 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fred Jerome Miller

Title

Owner

Phone

(336) 995-1383

Specialties & licenses 1

Addresses

Other names 1

• Fred Jerome Miller Doing business as

Locations

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1174146005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24513",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271144513",
            "telephone_number": "336-995-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 WESTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-885-0799",
            "fax_number": "336-885-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWIK TRIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-995-1383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Jerome Miller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany D Kuhn, RN
• Navneet Kumar, MD
• Reema Kumari, MD
• Abisola Kunnu, PHARMD
• Julia Catherine Kupfert
• Paul Kwon, DDS
• Sandra Baffour Kyei, ACNPC-AG
• Kyle Taylor, DDS II, PLLC (Tranquil Bay Dental)
• Patricia Kyle, PT
• L'Tanya J. Bailey, D.D.S, Ms, PLLC

• Secured Medical Transport (VAN) in High Point, NC
• Providers in High Point, NC by specialty
• Secured Medical Transport (VAN) in North Carolina

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