Tricho RX

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

TRICHO RX

Practice address

6834 Cantrell Rd Ste 1454
Little Rock, AR 72207-4135

Phone

(501) 575-0759

Fax

(501) 663-6646

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Dwykeia Shantwana Parker

Title

Prosthetic Orthotic Provider

Phone

(501) 575-0759

Specialties & licenses 1

Addresses

Other names 1

• Tricho Rx Doing business as

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1104596857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 CANTRELL RD STE 1454",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074135",
            "telephone_number": "501-575-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 CANTRELL RD STE 1454",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074135",
            "telephone_number": "501-575-0759",
            "fax_number": "501-663-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICHO RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DWYKEIA",
        "authorized_official_middle_name": "SHANTWANA",
        "authorized_official_title_or_position": "PROSTHETIC ORTHOTIC PROVIDER",
        "authorized_official_telephone_number": "501-575-0759"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricho Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Michael Tretter, PT
• Michele Antoinette Tretter, M.S., CCC-SLP
• Kerian Trice-Purnell, RN, BSN, CLC, CBE
• Jackie Trice
• Tina Marie Trice, OTR/L
• Amanda Lynn Trickey, RN
• Trevor Trietsch, LCSW
• Laura B Trigg, M.D.
• Sharon Trigilio, SLP
• Anup Kumar Trikannad Ashwini Kumar, M.D., M.S

• Prosthetic/Orthotic Supplier in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.