Organization Active NPI

Delmarva Wigs and Things LLC

  • Durable Medical Equipment & Medical Supplies
  • Salisbury, MD
National Provider Identifier
1073932190
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 16, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.