Perfectly Imperfect Wig Collection

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PERFECTLY IMPERFECT WIG COLLECTION

Practice address

418 Carrollton Ave
Lexington, MS 39095-3212

Phone

(601) 201-5625

Fax

(601) 476-6501

NPI assigned

May 27, 2020

Last updated

May 27, 2020By 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

Ruggera Russell

Title

Owner

Phone

(601) 201-5625

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1578186409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CARROLLTON AVE",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953212",
            "telephone_number": "601-201-5625",
            "fax_number": "601-476-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CARROLLTON AVE",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953212",
            "telephone_number": "601-201-5625",
            "fax_number": "601-476-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTLY IMPERFECT WIG COLLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RUGGERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-201-5625"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6014766501",
            "affiliation": "N",
            "endpointDescription": "Fax #",
            "address_1": "418 Carrollton Ave",
            "city": "Lexington",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390953212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northside Haven Association, Inc. (Miss Bernice's House)
• Abiola Nike Oke, MD
• Dustin Pambianchi, DMD
• Patients Choice Medical Center of Humphreys County, LLC (Patients Choice Clinic of Lexington)
• Peoples Drug Store Lexington Inc
• Sharon D Pitchford
• Quality Care Staffing
• Calvin Ramsey, M.D.
• Nadean Randle, LCSW
• Samimah Shetta Reese

• Prosthetic/Orthotic Supplier in Lexington, MS
• Providers in Lexington, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.