Organization Active NPI

Blossom Garden Boutique

  • Durable Medical Equipment & Medical Supplies
  • Arkadelphia, AR
National Provider Identifier
1962077545
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLOSSOM GARDEN BOUTIQUE
Practice address
203 S 26TH St Ste E
Arkadelphia, AR 71923-5456
Phone
(870) 293-1300
Fax
(702) 931-3018
NPI assigned
May 25, 2021
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Andrea Emerson, CFM
Title
Owner
Phone
(501) 815-2482

Specialties & licenses 1

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

Addresses

Primary practice location

203 S 26TH St Ste E
Arkadelphia, AR 71923-5456

Mailing address

104 W 3Rd St
Malvern, AR 72104-3714
Phone (501) 267-7071

National Provider Directory

National Provider Directory

Locations

203 S 26th St
Ste E
Arkadelphia, AR 71923
Phone (870) 293-1300

104 W 3rd St
Malvern, AR 72104

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1962077545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 3RD ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043714",
            "telephone_number": "501-267-7071",
            "fax_number": "501-267-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S 26TH ST STE E",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235456",
            "telephone_number": "870-293-1300",
            "fax_number": "702-931-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM GARDEN BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-815-2482",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.