Peppertown USA, LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

R006584441 Issued in AL

Legal business name

PEPPERTOWN USA, LLC

Practice address

704 N Perry St
Montgomery, AL 36104-2442

Phone

(334) 669-8838

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Miss Electra Henry

Title

Ceo

Phone

(334) 669-8838

Specialties & licenses 1

Addresses

Other names 1

• Theraquatics Doing business as

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1407223720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361021414",
            "telephone_number": "334-669-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N PERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361042442",
            "telephone_number": "334-669-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERTOWN USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ELECTRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-669-8838",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "AL",
            "license": "R006584441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theraquatics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shandra Penn
• E. Gray Penton, DMD
• Shearlyn Deanne Peoples, M.D.
• Ashley Lauren Peplow, CRNP
• Pepperell Primary Care, PC
• Amanda Nicole Henrie Percival
• Quintarious Marquez Perdue, PHARM.D
• Sergio Andres Perez Beracasa, M.D.
• Lasha Perine, M. ED, ALC
• Adriane Leshaye Perkins

• Nursing Facility Supplies (DME) in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Nursing Facility Supplies (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.