Supreme Hair and Beauty

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SUPREME HAIR AND BEAUTY

Practice address

6420 Colonel Glenn Rd Ste 1C
Little Rock, AR 72204-7764

Phone

(501) 413-4523

NPI assigned

Oct 17, 2026

Last updated

Oct 17, 2026By 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

Khalid Alkam

Title

Owner

Phone

(731) 617-1580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1356247134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 COLONEL GLENN RD STE 1C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047764",
            "telephone_number": "501-413-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COLONEL GLENN RD STE 1C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047764",
            "telephone_number": "501-413-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HAIR AND BEAUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "ALKAM",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-617-1580"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Customized Equipment (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.