The Healthy Back Store

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

THE HEALTHY BACK STORE

Practice address

10300 Southard Dr
Beltsville, MD 20705-2107

Phone

(703) 339-1300

NPI assigned

May 13, 2015

Last updated

May 13, 2015By 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

Misty Weisbrod

Title

Cfo

Phone

(240) 241-7822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1295113033",
    "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"
        },
        {
            "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": "703-339-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY BACK STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "WEISBROD",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "240-241-7822"
    },
    "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 Beltsville, MD
• Providers in Beltsville, MD by specialty
• Non-Pharmacy Dispensing Site in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.