Organization Active NPI

Mean Bean Shop LLC

  • Other Specialist/Technologist
  • East Longmeadow, MA
National Provider Identifier
1396621249
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
MEAN BEAN SHOP LLC
Practice address
60 Shaker Rd Ste 19
East Longmeadow, MA 01028-2757
Phone
(407) 982-4876
Fax
(407) 650-2754
NPI assigned
Aug 14, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Williams Jenifer
Title
Owner
Phone
(407) 982-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

60 Shaker Rd Ste 19
East Longmeadow, MA 01028-2757

Mailing address

60 Shaker Rd Ste 19
East Longmeadow, MA 01028-2757
Phone (617) 291-4539

National Provider Directory

National Provider Directory

Locations

60 Shaker Rd
Ste 19
East Longmeadow, MA 01028

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1396621249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHAKER RD STE 19",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282757",
            "telephone_number": "617-291-4539",
            "fax_number": "407-650-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SHAKER RD STE 19",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282757",
            "telephone_number": "407-982-4876",
            "fax_number": "407-650-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAN BEAN SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "JENIFER",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-982-4876"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.