Pink Glitter Thrift Boutique

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

94719 Issued in TN

Legal business name

PINK GLITTER THRIFT BOUTIQUE

Practice address

3854 Dickerson Pike
Suite C
Nashville, TN 37207-1318

Phone

(615) 358-7465

NPI assigned

Jun 21, 2016

Last updated

Jun 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Jackson

Title

President

Phone

(615) 358-7465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1518317411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 DICKERSON PIKE",
            "address_2": "SUITE C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071318",
            "telephone_number": "615-358-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 DICKERSON PIKE",
            "address_2": "SUITE C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071318",
            "telephone_number": "615-358-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK GLITTER THRIFT BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-358-7465",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "94719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Pine
• Nubia Citlalli Pineda Alcaraz, AGNP, R.N.
• Julie S Pingel, PHARM D
• Julia Nicole Pingledis
• Nick Pingry
• Rhonda Pinkerman, APRN
• D Margaret-Jewella Pinkney
• Victoria Pinkovsky
• Whitney Pinkston, RDN, LDN
• Pinnacle Biolabs LLC

• Durable Medical Equipment & Medical Supplies in Nashville, TN
• Providers in Nashville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.