Organization Active NPI

Just Like You Post-Mastectomy Fitting Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, AR
National Provider Identifier
1497363436
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JUST LIKE YOU POST-MASTECTOMY FITTING BOUTIQUE LLC
Practice address
2913 King St Ste 3
Jonesboro, AR 72401-5353
Phone
(870) 273-4245
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Tonya D Peppers, CFM
Title
Owner
Phone
(870) 273-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2913 King St Ste 3
Jonesboro, AR 72401-5353

Mailing address

2913 King St Ste 3
Jonesboro, AR 72401-5353
Phone (870) 203-0692

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL justlikeyoufitter@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200916000191 AR DME Supplier - Medical Supply Company 6800214313 Practice locations: Jonesboro, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Just Like You Post-Mastectomy Fitti2913 King St, Jonesboro, AR 72401-5353(870) 203-0692 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jul 28, 2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1497363436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 KING ST STE 3",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015353",
            "telephone_number": "870-203-0692",
            "fax_number": "870-206-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 KING ST STE 3",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015353",
            "telephone_number": "870-273-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST LIKE YOU POST-MASTECTOMY FITTING BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-273-4245",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "justlikeyoufitter@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2913 King St Ste 3",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724015353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.