Pretty in Pink Boutique, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRETTY IN PINK BOUTIQUE, INC.

Doing business as

Pretty In Pink Mastectomy Boutique

Practice address

3028 Woodall St
El Paso, TX 79925-5521

Phone

(915) 260-8800

Fax

(915) 201-1318

NPI assigned

Jun 29, 2020

Last updated

Jan 10, 2023By 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

Erika Tavarez, CMFNPI 1275247546

Title

President

Phone

(915) 955-2525

Specialties & licenses 2

Addresses

Other names 1

• Pretty In Pink Mastectomy Boutique Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erika Tavarez, CMF

  • Mastectomy Fitter
  • El Paso, TX
  • NPI 1275247546
  NPD Authorized official

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1902423684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 WOODALL ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255521",
            "telephone_number": "915-260-8800",
            "fax_number": "915-201-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 WOODALL ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255521",
            "telephone_number": "915-260-8800",
            "fax_number": "915-201-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY IN PINK BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "TAVAREZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-955-2525",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ERIKA@PRETTYINPINK.US",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3028 Woodall St",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799255521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pretty In Pink Mastectomy Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in El Paso, TX
• Providers in El Paso, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.