Organization Active NPI

Fareryder LLC

  • Transportation Network Company
  • Capitol Heights, MD
National Provider Identifier
1275312696
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
FARERYDER LLC
Practice address
329 Possum CT
Capitol Heights, MD 20743-3509
Phone
(202) 765-8035
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Allen Graham Jr.
Title
Ceo
Phone
(202) 765-8035

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X

Addresses

Primary practice location

329 Possum CT
Capitol Heights, MD 20743-3509

Mailing address

329 Possum CT
Capitol Heights, MD 20743-3509
Phone (202) 765-8035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1275312696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 POSSUM CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433509",
            "telephone_number": "202-765-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 POSSUM CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433509",
            "telephone_number": "202-765-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARERYDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-765-8035",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.