IN THE PINK BOUTIQUE, INC.
NPI 1750676110
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

NPI Status: Active since June 14, 2011

Contact Information

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-5515
Fax: (904) 396-5516

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  • Organization
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About IN THE PINK BOUTIQUE, INC.

This page provides the complete NPI Profile along with additional information for In The Pink Boutique, Inc., a provider established in Jacksonville, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1750676110 assigned on June 2011. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jeri Killough Millard (Ceo)

NPI
1750676110
Provider Name
IN THE PINK BOUTIQUE, INC.
Entity Type
Organization
Location Address
3547 HENDRICKS AVE JACKSONVILLE, FL 32207
Location Phone
(904) 396-5515
Location Fax
(904) 396-5516
Mailing Address
3547 HENDRICKS AVE JACKSONVILLE, FL 32207
Mailing Phone
(904) 396-5515
Mailing Fax
(904) 396-5516
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2011
Last Update Date
01-07-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
FL
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERI KILLOUGH MILLARD

Authorized Official Title
CEO
Authorized Official Phone
(904) 372-0029

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750676110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001271212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 1 + 2 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750676110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

KRISTIN LEE BARRETT PMHNP-BC

Nurse Practitioner

(Psychiatric/Mental Health)

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207

(904) 877-1100

MR. CHARLES B MADDIX APRN, MSN, PMHNP-BC

Nurse Practitioner

(Psychiatric/Mental Health)

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207

(904) 877-1100

DR. RAUL SOTO-ACOSTA M.D.

Psychiatry & Neurology

(Psychiatry)

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207

(904) 877-1100

INTEGRATIVE PSYCHIATRIC SOLUTIONS, LLC

Psychiatry & Neurology

(Psychiatry)

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207

(904) 877-1100

LEILA PATEL APRN, PMHNP-BC

Nurse Practitioner

(Psychiatric/Mental Health)

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207

(904) 877-1100

JOCELYN GONZALEZ ETHEREDGE

Nurse Practitioner

(Psychiatric/Mental Health)

3547 HENDRICKS AVE
JACKSONVILLE, FL
ZIP 32207

(904) 877-1100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750676110, enumerated as an "organization" on June 14, 2011.

The provider is located at 3547 HENDRICKS AVE JACKSONVILLE, FL 32207 and the phone number is (904) 396-5515.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.