Pink Ribbon Boutique, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PINK RIBBON BOUTIQUE, INC

Practice address

169 Peachtree LN
Bowling Green, KY 42103-7007

Phone

(270) 842-7465

Fax

(270) 842-3836

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Wheeler

Title

President

Phone

(270) 842-7465

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073542197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50336",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421022936",
            "telephone_number": "270-842-7465",
            "fax_number": "270-842-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PEACHTREE LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037007",
            "telephone_number": "270-842-7465",
            "fax_number": "270-842-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK RIBBON BOUTIQUE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-842-7465"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piller, Inc.
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• Pippa Pinckley-Stewart, M.D.
• Jase Jared Pinerola, P.T.
• Natalie Pinerola
• Bonnie Pinkerton, BHS
• Liberty Pinon, RBT
• Christopher David Pitcock, DMD
• Emily Dawn Pitcock, MED
• Louie Dennis Pitcock Jr., M.P.T.

• Prosthetic/Orthotic Supplier in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.