Medivelo Logistics LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

MEDIVELO LOGISTICS LLC

Practice address

10366 Taylor Ridge CV
Cordova, TN 38016-7620

Phone

(901) 630-0243

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Charles O Bwayi

Title

Ceo

Phone

(901) 630-0243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1952168486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10366 TAYLOR RIDGE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167620",
            "telephone_number": "901-630-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10366 TAYLOR RIDGE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167620",
            "telephone_number": "901-630-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVELO LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "BWAYI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-630-0243"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.