Organization Active NPI

Jrenie Beauty & Barber Supply

  • Prosthetic/Orthotic Supplier
  • Bear, DE
National Provider Identifier
1356040422
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JRENIE BEAUTY & BARBER SUPPLY
Practice address
1586 Red Lion Rd
Bear, DE 19701-1816
Phone
(302) 918-7484
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Renie HollandNPI 1235830480
Title
Manager
Phone
(302) 918-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1586 Red Lion Rd
Bear, DE 19701-1816

Mailing address

1586 Red Lion Rd
Bear, DE 19701-1816
Phone (302) 918-7484

National Provider Directory

National Provider Directory

Locations

1586 Red Lion Rd
Bear, DE 19701
Phone (302) 918-7484

Practitioners & affiliated clinicians

Practitioners 1

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": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1356040422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 RED LION RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011816",
            "telephone_number": "302-918-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 RED LION RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011816",
            "telephone_number": "302-918-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRENIE BEAUTY & BARBER SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "RENIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-918-7484"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.