Active NPI
Pink Regalia, LLC
- Durable Medical Equipment & Medical Supplies
- Waynesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7705309 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
- NPI 1518339696
6305020587
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pink Regalia, LLC | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Pink Regalia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
- NPI 1518339696
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.
-
- Mastectomy Fitter
- Waynesville, NC
- NPI 1649541426
-
- Mastectomy Fitter
- Asheville, NC
- NPI 1144052523
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.