Macksummblack Enterprises Inc

Primary specialty

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

Legal business name

MACKSUMMBLACK ENTERPRISES INC

Practice address

521 Alamanni CT
Graham, NC 27253-4472

Phone

(336) 343-2672

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By 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. Rudolph Arthur McPherson Sr.NPI 1972216927

Title

Chief Executive Offecer

Phone

(336) 343-2672

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Rudolph Arthur McPherson Sr.

  • Driver
  • Graham, NC
  • NPI 1972216927
  NPD Authorized official

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1891408829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MARSHALL ST UNIT 1083",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272530247",
            "telephone_number": "336-343-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ALAMANNI CT",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534472",
            "telephone_number": "336-343-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKSUMMBLACK ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFECER",
        "authorized_official_telephone_number": "336-343-2672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40409101",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Makhlouf, DMD
• Gabriel A. Matos, D.C.
• Sarah Paige McCaughan, PHARMD
• Amy Kathryn McMillion, DPT

• Non-emergency Medical Transport (VAN) in Graham, NC
• Providers in Graham, 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 Jan 4, 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.