Organization Active NPI

Unique Boutique Inc

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1972837995
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
006051877 Issued in NC
Legal business name
UNIQUE BOUTIQUE INC
Practice address
4830 Monroe Rd Ste a
Charlotte, NC 28205-7856
Phone
(704) 377-4356
NPI assigned
Sep 23, 2009
Organization subpart
Yes
Parent organization
UNIQUE BOUTIQUE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mrs. Melissa Marie Kucharski-Nelson
Title
Manager
Phone
(704) 377-4356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 006051877 NC Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4830 Monroe Rd Ste a
Charlotte, NC 28205-7856

Mailing address

4830 Monroe Rd Ste a
Charlotte, NC 28205-7856
Phone (704) 377-4356

National Provider Directory

National Provider Directory
Part of
Unique Boutique Inc

Locations

9805 Sandy Rock Pl
Ste D7
Charlotte, NC 28277

13131 Rosedale Hill Ave
Huntersville, NC 28078

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1972837995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 MONROE RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057856",
            "telephone_number": "704-377-4356",
            "fax_number": "704-377-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 MONROE RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057856",
            "telephone_number": "704-377-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE BOUTIQUE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIQUE BOUTIQUE INC",
        "enumeration_date": "2009-09-23",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "KUCHARSKI-NELSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-377-4356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "006051877",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.