Mybethony Enterprises

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MYBETHONY ENTERPRISES

Practice address

3027 Autumn PL S Apt a
Jackson, MS 39212-2419

Phone

(601) 896-3092

NPI assigned

Mar 10, 2018

Organization subpart

Yes

Parent organization

MYBETHONY ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Mr. Merwyn Williams

Title

Owner

Phone

(601) 896-3092

Specialties & licenses 1

Addresses

Other names 1

• Alluring Footwear Doing business as

Part of

Mybethony Enterprises

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1780187294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 AUTUMN PL S APT A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122419",
            "telephone_number": "601-896-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 AUTUMN PL S APT A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122419",
            "telephone_number": "601-896-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYBETHONY ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYBETHONY ENTERPRISES",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MERWYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-896-3092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alluring Footwear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Mustain, PH. D.
• Raina M Muthukumaru, MD
• My Brother'S Keeper
• My Brother'S Keeper, Inc
• Glen David Myatt Jr.
• Brandon S Myers
• Brower Lee Myers
• Clara Ann Myers, M.D.
• Ivory Myers, LMSW
• Jessica Leigh Myers, D.O.

• Customized Equipment (DME) in Jackson, MS
• Providers in Jackson, MS by specialty
• Customized Equipment (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.