NPIMap

Organization Active NPI

Wig RX LLC

  • Prosthetic/Orthotic Supplier
  • Waterford, CT
National Provider Identifier
1033091376
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WIG RX LLC
Practice address
256 Boston Post Rd.
Waterford, CT 06385
Phone
(860) 222-5513
NPI assigned
Jul 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Authorized official

Name
Amanda Evans, OWNER/COSMETOLOGISTNPI 1922981216
Title
Cranial Prosthesis Provider
Phone
(860) 222-5513

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

256 Boston Post Rd.
Waterford, CT 06385

Mailing address

292 S Frontage Rd # 1036
New London, CT 06320-2641
Phone (860) 222-5513

National Provider Directory

National Provider Directory
Tax ID family
Wig RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

292 S Frontage Rd
New London, CT 06320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1033091376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S FRONTAGE RD # 1036",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202641",
            "telephone_number": "860-222-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BOSTON POST RD.",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-222-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIG RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS PROVIDER",
        "authorized_official_telephone_number": "860-222-5513",
        "authorized_official_credential": "OWNER/COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.