NPIMap

Organization Active NPI

Janet R. Brady

Doing business as Pink Ribbon Boutique

  • Prosthetic/Orthotic Supplier
  • Douglasville, GA
National Provider Identifier
1144466657
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JANET R. BRADY
Doing business as
Pink Ribbon Boutique
Practice address
4696 Bradley CT
Douglasville, GA 30135-5085
Phone
(404) 519-6944
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Ms. Janet R Brady
Title
Owner
Phone
(404) 519-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4696 Bradley CT
Douglasville, GA 30135-5085

Mailing address

4696 Bradley CT
Douglasville, GA 30135-5085
Phone (404) 519-6944

Other names 1

  • Pink Ribbon Boutique Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1144466657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 BRADLEY CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355085",
            "telephone_number": "404-519-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 BRADLEY CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355085",
            "telephone_number": "404-519-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET R. BRADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-519-6944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Ribbon Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.