Organization Active NPI

Exquisite Boutique Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
National Provider Identifier
1932058260
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXQUISITE BOUTIQUE INC
Practice address
1057 W Entertainment Blvd
Suite 1057
Glendale, AZ 85305
Phone
(602) 960-5868
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Ms. Ceaira S Johnson, JOHNSON
Title
Director/Pesident
Phone
(602) 960-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1057 W Entertainment Blvd
Suite 1057
Glendale, AZ 85305

Mailing address

6610 N 93Rd Ave Apt 1057
Glendale, AZ 85305-3186
Phone (602) 960-5868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1932058260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 N 93RD AVE APT 1057",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053186",
            "telephone_number": "602-960-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 W ENTERTAINMENT BLVD",
            "address_2": "SUITE 1057",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85305",
            "telephone_number": "602-960-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CEAIRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR/PESIDENT",
        "authorized_official_telephone_number": "602-960-5868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JOHNSON"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.