Organization Active NPI

Pancho, Inc.

  • Transportation Network Company
  • Norcross, GA
National Provider Identifier
1841075918
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
PANCHO, INC.
Practice address
2608 Treetrail Pkwy
Norcross, GA 30093-2595
Phone
(404) 228-8580
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Uchenna James Okeke, MBA
Title
Ceo
Phone
(470) 534-8670

Specialties & licenses 4

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

Addresses

Primary practice location

2608 Treetrail Pkwy
Norcross, GA 30093-2595

Mailing address

2608 Treetrail Pkwy
Norcross, GA 30093-2595
Phone (404) 228-8580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1841075918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 TREETRAIL PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932595",
            "telephone_number": "404-228-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 TREETRAIL PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932595",
            "telephone_number": "404-228-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCHO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-534-8670",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured 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
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.