Healthy Back Brand Holdings, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

HEALTHY BACK BRAND HOLDINGS, LLC

Practice address

10300 Southard Dr
Beltsville, MD 20705-2107

Phone

(240) 297-1865

Fax

(240) 319-7189

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Narva Thompson II

Title

Accountant

Phone

(240) 297-1865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1184086084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SOUTHARD DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052107",
            "telephone_number": "240-297-1865",
            "fax_number": "240-319-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SOUTHARD DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052107",
            "telephone_number": "240-297-1865",
            "fax_number": "240-319-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BACK BRAND HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NARVA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "240-297-1865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.