Pink Ribbon Boutique Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PINK RIBBON BOUTIQUE INC

Practice address

601 South 21St Street
Fort Smith, AR 72901

Phone

(479) 242-9277

Fax

(479) 242-8251

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Bev Ramsey, CMF

Title

Owner/CMF

Phone

(479) 242-9277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1114152568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SOUTH 21ST STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-242-9277",
            "fax_number": "479-242-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SOUTH 21ST STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-242-9277",
            "fax_number": "479-242-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK RIBBON BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "BEV",
        "authorized_official_title_or_position": "OWNER/CMF",
        "authorized_official_telephone_number": "479-242-9277",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ginger Pittman, FNP-C
• Stephen Pittman
• Katelien Pitts

• Prosthetic/Orthotic Supplier in Fort Smith, AR
• Providers in Fort Smith, 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 Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.