Organization Active NPI

Beauty Bar & Supply LLC

  • Specialist
  • Fayetteville, NC
National Provider Identifier
1407377575
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BEAUTY BAR & SUPPLY LLC
Practice address
7830 Good Middling Dr Ste a
Fayetteville, NC 28304-5996
Phone
(910) 223-9252
Fax
(910) 223-9252
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Authorized official

Name
Ms. Marie Antionette Messick
Title
Owner
Phone
(919) 210-8535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

7830 Good Middling Dr Ste a
Fayetteville, NC 28304-5996

Mailing address

439 Westwood Shopping Ctr Ste 112
Fayetteville, NC 28314-1532
Phone (919) 210-8535

National Provider Directory

National Provider Directory

Locations

7830 Good Middling Dr
Ste A
Fayetteville, NC 28304
Phone (910) 223-9252

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1407377575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WESTWOOD SHOPPING CTR STE 112",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141532",
            "telephone_number": "919-210-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 GOOD MIDDLING DR STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045996",
            "telephone_number": "910-223-9252",
            "fax_number": "910-223-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY BAR & SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "MESSICK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-210-8535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.