Coco's Lingerie Boutique

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

W59039495-01 Issued in HI

Legal business name

COCO'S LINGERIE BOUTIQUE

Practice address

35 Kainehe St
#102
Kailua, HI 96734-6127

Phone

(808) 262-6752

NPI assigned

Aug 23, 2013

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Berthiaume

Title

Owner/Manager

Phone

(808) 561-8185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1053745299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KAINEHE ST",
            "address_2": "#102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967346127",
            "telephone_number": "808-262-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KAINEHE ST",
            "address_2": "#102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967346127",
            "telephone_number": "808-262-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCO'S LINGERIE BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "BERTHIAUME",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "808-561-8185"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "W59039495-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Anna Leilani Clay
• Krissi Clymer
• Erin Blaire Coan, MD
• Adrianna Coberley, RBT
• Angelika Cochran
• Susan Marie Cohen, PSY.D.
• Melissa Cohn, LMT
• Violet K Coito
• Kyle Coker, MD
• Rio Kenji Cole, D.O.

• Durable Medical Equipment & Medical Supplies in Kailua, HI
• Providers in Kailua, HI by specialty
• Durable Medical Equipment & Medical Supplies in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.