MEDICARE: DOC DROP RIDE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1174494264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOC DROP RIDE INC

Provider Business Mailing Address
First Line	:	608 GREENFIELD BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-1119
Country	:	US
Telephone Number	:	347-342-7304
Fax Number	:

Provider Business Practice Location Address
First Line	:	608 GREENFIELD BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-1119
Country	:	US
Telephone Number	:	347-342-7304
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. DESHON SYLVESTER0 ROGER
Credential	:	AUGUST 19,1966
Telephone Number	:	347-342-7304

Provider Enumeration Date	:	09/13/2025
Last Update Date	:	09/13/2025

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Directions to “DOC DROP RIDE INC ” Practice Location

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