Organization Active NPI

The Unique Boutique US

Doing business as Shaquana Glenn Global Ministries

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
National Provider Identifier
1376350462
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE UNIQUE BOUTIQUE US
Doing business as
Shaquana Glenn Global Ministries
Wigs and Hair Bundles by The Unique Boutique US
Practice address
219 W Mills Ave
Mooresville, NC 28115-3232
Phone
(704) 906-8458
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Mrs. Shaquana GlennNPI 1699543827
Title
Owner
Phone
(704) 906-8458

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

219 W Mills Ave
Mooresville, NC 28115-3232

Mailing address

219 W Mills Ave
Mooresville, NC 28115-3232
Phone (704) 906-8458

Other names 2

  • Shaquana Glenn Global Ministries Doing business as
  • Wigs and Hair Bundles by The Unique Boutique US Doing business as

National Provider Directory

National Provider Directory

Locations

219 W Mills Ave
Mooresville, NC 28115
Phone (704) 906-8458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1376350462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W MILLS AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153232",
            "telephone_number": "704-906-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MILLS AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153232",
            "telephone_number": "704-906-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIQUE BOUTIQUE US",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "SHAQUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-906-8458",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaquana Glenn Global Ministries",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wigs and Hair Bundles by The Unique Boutique US",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.