Pearl Luxe RX

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PEARL LUXE RX

Practice address

401 S Harrison St Apt 1
Wilmington, DE 19805-4046

Phone

(609) 336-1480

Fax

(302) 652-2282

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Talora Parham

Title

Owner

Phone

(609) 336-1480

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1114529716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S HARRISON ST APT 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054046",
            "telephone_number": "609-336-1480",
            "fax_number": "302-652-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S HARRISON ST APT 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054046",
            "telephone_number": "609-336-1480",
            "fax_number": "302-652-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL LUXE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "PARHAM",
        "authorized_official_first_name": "TALORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-336-1480"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3026522282",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "401 S Harrison St Apt 1",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198054046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Prosthetic/Orthotic Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.