New York Fashion Beauty Supply LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

NEW YORK FASHION BEAUTY SUPPLY LLC

Practice address

5309 E Independence Blvd Ste E
Charlotte, NC 28212-0542

Phone

(980) 335-7702

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Shardae Vanhook

Title

Owner

Phone

(980) 335-7702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1487425880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 E INDEPENDENCE BLVD STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120542",
            "telephone_number": "980-335-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 E INDEPENDENCE BLVD STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120542",
            "telephone_number": "980-335-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK FASHION BEAUTY SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "VANHOOK",
        "authorized_official_first_name": "SHARDAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-335-7702"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.