A&W Express Inc.

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

21068639 Issued in NC

Legal business name

A&W EXPRESS INC.

Practice address

4623 Potters Glen Rd
Charlotte, NC 28269-7351

Phone

(704) 488-7784

Fax

(704) 599-5876

NPI assigned

Oct 2, 2009

Last updated

Oct 2, 2009By 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. Avery Winder

Title

President

Phone

(704) 488-7784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1740515196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 POTTERS GLEN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697351",
            "telephone_number": "704-488-7784",
            "fax_number": "704-599-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 POTTERS GLEN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697351",
            "telephone_number": "704-488-7784",
            "fax_number": "704-599-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&W EXPRESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "WINDER",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-488-7784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NC",
            "license": "21068639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility Supplies (DME) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nursing Facility Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.