Organization Active NPI

McCullers Delivery Service

Doing business as MDS Transport

  • Non-emergency Medical Transport (VAN)
  • Knightdale, NC
National Provider Identifier
1992544605
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MCCULLERS DELIVERY SERVICE
Doing business as
MDS Transport
Practice address
520 Hinton Oaks Blvd
Knightdale, NC 27545-6592
Phone
(919) 438-6019
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Darius McCullersNPI 1124873633
Title
Owner
Phone
(919) 438-6019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

520 Hinton Oaks Blvd
Knightdale, NC 27545-6592

Mailing address

1030 N Rogers LN
Raleigh, NC 27610-6083
Phone (919) 438-6019

Other names 1

  • MDS Transport Doing business as

National Provider Directory

National Provider Directory

Locations

520 Hinton Oaks Blvd
Knightdale, NC 27545
Phone (919) 438-6019

1030 N Rogers Ln
Raleigh, NC 27610
Phone (484) 620-9554

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1992544605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ROGERS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106083",
            "telephone_number": "919-438-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HINTON OAKS BLVD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456592",
            "telephone_number": "919-438-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLERS DELIVERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLERS",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-438-6019"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDS Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.