Pure Elegance RX LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PURE ELEGANCE RX LLC

Doing business as

Pure Elegance RX

Practice address

27020 Pac Hwy S
Ste a #15
Kent, WA 98032

Phone

(206) 742-2735

Fax

(201) 455-6135

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By 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

Caprice Louis

Title

Cranial Prosthesis Specialist

Phone

(206) 601-0622

Specialties & licenses 1

Addresses

Other names 1

• Pure Elegance RX Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1942975420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 PAC HWY S",
            "address_2": "STE A #15",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "206-742-2735",
            "fax_number": "201-455-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27020 PAC HWY S",
            "address_2": "STE A #15",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "206-742-2735",
            "fax_number": "201-455-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ELEGANCE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "CAPRICE",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "206-601-0622"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2014556135",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27020 pac hwy s",
            "address_2": "ste A #15",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pure Elegance RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kimberly Pulliam, RN
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• Ravneet Kaur Purewal, DNP
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• Allan P Pyka
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• Prosthetic/Orthotic Supplier in Kent, WA
• Providers in Kent, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

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