Glamorous Beautique RX

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GLAMOROUS BEAUTIQUE RX

Practice address

4735 Sharon Rd # 120
Charlotte, NC 28210-3327

Phone

(770) 568-7510

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Sharonda Davis

Title

Owner

Phone

(770) 568-7510

Specialties & licenses 1

Addresses

Other names 1

• Glamorous Beautique LLC Doing business as

Locations

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1386323442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 W HWY SUITE 160 105 #352",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "770-568-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 SHARON RD # 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103327",
            "telephone_number": "770-568-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOROUS BEAUTIQUE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-568-7510"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glamorous Beautique LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heather Sue Gladue, DO
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• Ann Glaser, LCSW
• Emilia Glaser
• Jeffrey James Glaser, D.P.M.

• Prosthetic/Orthotic Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.