Organization Active NPI

Shop Beauty LLC

  • Customized Equipment (DME)
  • Saint Albans, NY
National Provider Identifier
1487599064
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SHOP BEAUTY LLC
Practice address
18802 Liberty Ave
Saint Albans, NY 11412-1049
Phone
(929) 385-5989
Fax
(205) 751-9233
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Shantell E JayNPI 1225994478
Title
Owner
Phone
(929) 385-5989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

18802 Liberty Ave
Saint Albans, NY 11412-1049

Mailing address

18802 Liberty Ave
Saint Albans, NY 11412-1049
Phone (929) 385-5989

National Provider Directory

National Provider Directory

Locations

18802 Liberty Ave
Saint Albans, NY 11412
Phone (929) 385-5989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1487599064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18802 LIBERTY AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121049",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 LIBERTY AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121049",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOP BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "SHANTELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-385-5989"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "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 Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.