The Melanin Kollection

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE MELANIN KOLLECTION

Practice address

5913 Pecan Lake Road
Little Rock, AR 72204

Phone

(470) 665-1859

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Rickitha Hicks

Title

Owner

Phone

(870) 665-1859

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1568043479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 PECAN LAKE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048577",
            "telephone_number": "870-665-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 PECAN LAKE ROAD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72204",
            "telephone_number": "470-665-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MELANIN KOLLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RICKITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-665-1859"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5012991163",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "6834 Cantrell Rd Ste 208",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722074135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.