Organization Active NPI

Pink Regalia, LLC

  • Durable Medical Equipment & Medical Supplies
  • Waynesville, NC
National Provider Identifier
1295046878
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PINK REGALIA, LLC
Practice address
452 Hazelwood Ave
Waynesville, NC 28786-1946
Phone
(828) 454-1004
Fax
(828) 454-1003
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Stephany Smathers
Title
Owner
Phone
(828) 506-9591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

452 Hazelwood Ave
Waynesville, NC 28786-1946

Mailing address

PO Box 1362
Clyde, NC 28721-1362

Other identifiers 1

IdentifierTypeStateIssuer
7705309MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000093 NC DME Supplier - Medical Supply Company 6305020587 Practice locations: Waynesville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pink Regalia, LLC452 Hazelwood Ave, Waynesville, NC 28786-1946(828) 454-1004 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2014

National Provider Directory

National Provider Directory
Tax ID family
Pink Regalia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

485 Hendersonville Rd
Ste 3
Asheville, NC 28803
Phone (828) 785-1881

452 Hazelwood Ave
Waynesville, NC 28786
Phone (828) 454-1004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1295046878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1362",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287211362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 HAZELWOOD AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287861946",
            "telephone_number": "828-454-1004",
            "fax_number": "828-454-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK REGALIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "SMATHERS",
        "authorized_official_first_name": "STEPHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-506-9591"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.