Organization Active NPI

Pampered Health Cosmedic Studio, LLC

Doing business as Pampered Health CosMedics

  • Customized Equipment (DME)
  • Memphis, TN
National Provider Identifier
1861911497
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PAMPERED HEALTH COSMEDIC STUDIO, LLC
Doing business as
Pampered Health CosMedics
Practice address
2528 Labonte Dr
Memphis, TN 38127-3608
Phone
(901) 336-1417
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Charnece Brown, RN
Title
Owner
Phone
(901) 336-1417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2528 Labonte Dr
Memphis, TN 38127-3608

Mailing address

2528 Labonte Dr
Memphis, TN 38127-3608

Other names 1

  • Pampered Health CosMedics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9014602819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1861911497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 LABONTE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381273608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 LABONTE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381273608",
            "telephone_number": "901-336-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMPERED HEALTH COSMEDIC STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARNECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-336-1417",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9014602819",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "2528 LaBonte Dr",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381273608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pampered Health CosMedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.