Active NPI
Mean Bean Shop LLC
- Other Specialist/Technologist
- East Longmeadow, MA
National Provider Identifier
1396621249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.