Active NPI
Delmarva Wigs and Things LLC
- Durable Medical Equipment & Medical Supplies
- Salisbury, MD
National Provider Identifier
1073932190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DELMARVA WIGS AND THINGS LLC
- Doing business as
- Market Street Boutique
- Practice address
- 720 E College Ave Ste D
Salisbury, MD 21804-6657 - Phone
- (410) 742-0100
- Fax
- (410) 742-0104
- NPI assigned
- Apr 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Anne Jackson, C.M.F.
- Title
- President/Owner
- Phone
- (410) 742-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
720 E College Ave Ste D
Salisbury, MD 21804-6657
Mailing address
720 E College Ave Ste D
Salisbury, MD 21804-6657
Phone (410) 742-0100
Other names 1
- Market Street Boutique
National Provider Directory
National Provider DirectoryLocations
145 Market St
Ste A
Pocomoke City, MD 21851
Phone (410) 957-0100
720 E College Ave
Ste D
Salisbury, MD 21804
Phone (410) 742-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mastectomy Fitter
- Moyock, NC
- NPI 1558707661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421366400000",
"number": "1073932190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E COLLEGE AVE STE D",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046657",
"telephone_number": "410-742-0100",
"fax_number": "410-742-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E COLLEGE AVE STE D",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046657",
"telephone_number": "410-742-0100",
"fax_number": "410-742-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELMARVA WIGS AND THINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-16",
"last_updated": "2015-01-16",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "410-742-0100",
"authorized_official_credential": "C.M.F."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Market Street Boutique",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.