Lady in Pink Mastectomy Boutique

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LADY IN PINK MASTECTOMY BOUTIQUE

Practice address

1241 Nile Drive
Corpus Christi, TX 78412

Phone

(361) 334-3476

Fax

(361) 334-3461

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Kay Magill

Title

Office Manager/Biller

Phone

(361) 334-3476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1124391040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 NILE DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78412",
            "telephone_number": "361-334-3476",
            "fax_number": "361-334-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 NILE DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78412",
            "telephone_number": "361-334-3476",
            "fax_number": "361-334-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY IN PINK MASTECTOMY BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MAGILL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLER",
        "authorized_official_telephone_number": "361-334-3476",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.