Khadijah Kreations

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KHADIJAH KREATIONS

Practice address

351 W Schuylkill Rd Ste B2
Pottstown, PA 19465-9639

Phone

(267) 241-2213

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Khadijah Moore, DME PROVIDER

Title

Owner

Phone

(484) 649-6575

Specialties & licenses 1

Addresses

Other names 1

• Coventry Medical Boutique Doing business as

Locations

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1407677172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE B2",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659639",
            "telephone_number": "267-241-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE B2",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659639",
            "telephone_number": "267-241-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADIJAH KREATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-649-6575",
        "authorized_official_credential": "DME PROVIDER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coventry Medical Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.