The Hair Clinic RX, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE HAIR CLINIC RX, LLC

Practice address

235 W Main St Ste E
Salisbury, MD 21801-4868

Phone

(667) 281-9603

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Nichole WallaceNPI 1457019135

Title

Hair Loss Practitioner

Phone

(667) 281-9603

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brandi Wallace, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Salisbury, MD
  • NPI 1457019135
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1043907413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W MAIN ST STE E",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014868",
            "telephone_number": "667-281-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W MAIN ST STE E",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014868",
            "telephone_number": "667-281-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAIR CLINIC RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "HAIR LOSS PRACTITIONER",
        "authorized_official_telephone_number": "667-281-9603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Tengen, RPH
• Matthew Thomas Terrell, MPT
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• Durable Medical Equipment & Medical Supplies in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.