Organization Active NPI

Sky Blossom Logistics

  • Transportation Network Company
  • Fort Smith, AR
National Provider Identifier
1376403642
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
SKY BLOSSOM LOGISTICS
Practice address
423 Rogers Ave Ste 201
Fort Smith, AR 72901-1941
Phone
(479) 352-9281
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Ryan Millican
Title
Owner
Phone
(479) 352-9281

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Transportation Broker 347E00000X

Addresses

Primary practice location

423 Rogers Ave Ste 201
Fort Smith, AR 72901-1941

Mailing address

2209 Breckenridge Ter
Greenwood, AR 72936-6403

National Provider Directory

National Provider Directory

Locations

423 Rogers Ave
Ste 201
Fort Smith, AR 72901
Phone (479) 352-9281

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1376403642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 BRECKENRIDGE TER",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 ROGERS AVE STE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729011941",
            "telephone_number": "479-352-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY BLOSSOM LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLICAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-352-9281"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "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 Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.