Princess Corset and Lingerie Shop, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRINCESS CORSET AND LINGERIE SHOP, LLC

Practice address

102 Grand Street
Waterbury, CT 06702

Phone

(203) 755-3640

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Angela JurgaitisNPI 1700024585

Title

Proprietor

Phone

(203) 755-3640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charlene Angela Jurgaitis, CMF

  • Durable Medical Equipment & Medical Supplies
  • Waterbury, CT
  • NPI 1700024585
  NPD (past) Authorized official

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1346572781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GRAND ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021909",
            "telephone_number": "203-755-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GRAND STREET",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-755-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESS CORSET AND LINGERIE SHOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "JURGAITIS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "203-755-3640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra N Price, DNP, FNP-BC/PMHNP-BC
• Pride and Valor Therapy Services LLC
• Prime Care Medical Group P.C.
• Primecare, Inc
• Linda Isis Primus, RDH BSDH MHS
• Kathiana Princy, APRN
• Patricia Pring
• Byron Pritchett
• Sophia Pritchett
• Mari-Ann Pronovost, PT

• Durable Medical Equipment & Medical Supplies in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.