Active NPI
Beauty Bar & Supply LLC
- Specialist
- Fayetteville, NC
National Provider Identifier
1407377575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.