In the Pink Boutique, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NONE

Legal business name

IN THE PINK BOUTIQUE, INC.

Practice address

522 3Rd St N
Jacksonville Beach, FL 32250-7031

Phone

(904) 372-0029

Fax

(904) 372-0063

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jeri Killough Millard, M.S.

Title

Ceo

Phone

(904) 534-3266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1194140459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507031",
            "telephone_number": "904-534-3266",
            "fax_number": "904-372-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507031",
            "telephone_number": "904-372-0029",
            "fax_number": "904-372-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN THE PINK BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "KILLOUGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-534-3266",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajla Hurem, ARNP
• Michael B Ibach, M.D.
• Ideal Dental - Jacksonville Beach
• Im Sulzbacher Center for the Homeless Inc
• In the Pink Boutique, Inc.
• Infinity Health Systems Inc
• Infinity Health Systems Inc
• Julie Ruth Ingber, LMHC
• Integrated Community Oncology Network LLC
• Integrated Community Oncology Network LLC

• Durable Medical Equipment & Medical Supplies in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.