Express Delivery Transport

Primary specialty

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

Legal business name

EXPRESS DELIVERY TRANSPORT

Practice address

318 Harris Ave
Raeford, NC 28376-3110

Phone

(910) 964-8051

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By 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

Vontavia McPhaulNPI 1972074409

Title

Owner

Phone

(910) 964-8051

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, and the practitioner matching its NPPES authorized official.

• Vontavia McPhaul

  • Community/Behavioral Health Agency
  • Bennettsville, SC
  • NPI 1972074409
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1700620721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763110",
            "telephone_number": "910-964-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763110",
            "telephone_number": "910-964-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DELIVERY TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MCPHAUL",
        "authorized_official_first_name": "VONTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-964-8051"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• F&J Family Services PLLC
• Amiee Fairchild
• Pamela Kathleen Faircloth
• Ron Christopher Faircloth, OD
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• Non-emergency Medical Transport (VAN) in Raeford, NC
• Providers in Raeford, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.