Jackson Delivery Service LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JACKSON DELIVERY SERVICE LLC

Practice address

11227 Trisler Dr
Fredericksburg, VA 22407-6475

Phone

(540) 273-0444

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Delancey Jackson

Title

Owner

Phone

(540) 273-0444

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delancy Jackson

  • Non-emergency Medical Transport (VAN)
  • Fredericksburg, VA
  • NPI 1306205844
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386168557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 TRISLER DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076475",
            "telephone_number": "540-273-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 TRISLER DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076475",
            "telephone_number": "540-273-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON DELIVERY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DELANCEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-273-0444"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Ogbeide Iyekegbe Jr., M.D.
• Keri Ann Izadi, DMD
• Keyoumars Izadi, MD, DDS
• J. Michael Childress, MD
• Adel Jaber, PHARM D.
• Delancy Jackson
• Janae Jackson, LMHP, LCSW
• Kayla Jackson
• Kelly Denise Jackson, PHARMD
• Kimberly Jackson

• Non-emergency Medical Transport (VAN) in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.