THE BRA LADY BOUTIQUE, INC (NPI# 1447431879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447431879 |
| Entity Type | Organization |
| Organization Name | THE BRA LADY BOUTIQUE, INC |
| Practice Address |
1085 Piney Forest Road Danville VA 24540-1507 |
| Practice Telephone | 4347935239 |
| Practice Fax Number | 4347935240 |
| Mailing Telephone | 4347935239 |
| Mailing Fax Number | 4347935240 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | CAROLYN H LUMPKIN (OWNER) |
| Authorized Official Telephone | 4347935239 |
| Authorized Official Credential | CERTIFIED MASTEC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM/BLUE CROSS | 217268 | 01 |
| VA | BC/BS OF VA | 217268 | 01 |
| VA | 009190236 | 05 |
| Street Address |
1085 PINEY FOREST ROAD |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1662 Smoot Ave, Danville, WV 25053-7601 | 2017-08-21 |
| 1598136111 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1894 Ridge Ave, Danville, IN 46122-5501 | 2015-10-08 |
| 1154743631 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 877 Bloom Rd Ste 102, Danville, PA 17821-1351 | 2014-01-17 |
| 1497176176 | Mark Harrer | Durable Medical Equipment & Medical Supplies | 56 Saint Timothy Ct, Danville, CA 94526-5329 | 2013-12-23 |
| 1134556277 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 3649 N. Vermilion St., Danville, IL 61832-1312 | 2013-10-03 |
| 1174802912 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1500 Piney Forest Rd, Danville, VA 24540-1706 | 2011-08-10 |
| 1265673545 | Gesiele L Mockabee | Durable Medical Equipment & Medical Supplies | 19 E North St, Danville, IL 61832 | 2009-03-16 |
| 1154582245 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 155 Holt Garrison Pkwy, Danville, VA 24540-5947 | 2008-06-20 |
| 1750542221 | Rose Drug of Danville Inc | Durable Medical Equipment & Medical Supplies | 708 E 8th Street, Danville, AR 72833 | 2008-06-18 |
| 1134399033 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 444 S 4th St, Danville, KY 40422-2007 | 2008-03-06 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.