ANNS LINGERIE AND MASTECTOMY CENTER INC (NPI# 1891083952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891083952 |
| Entity Type | Organization |
| Organization Name | ANNS LINGERIE AND MASTECTOMY CENTER INC |
| Other Organization Name | ANN'S BRA SHOP |
| Practice Address |
974 Wentzville Pkwy Wentzville MO 63385-3695 |
| Mailing Address |
13483 Olive Blvd Chesterfield MO 63017-3166 |
| Practice Telephone | 6363326700 |
| Practice Fax Number | 6363326811 |
| Mailing Telephone | 3148784144 |
| Mailing Fax Number | 3148789146 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | MS. CATHERINE BURNS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3148784144 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANNS LINGERIE AND MASTECTOMY CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 6296928808 | 05 |
| Other Name | Type Code |
|---|---|
| Ann's Bra Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588952691 | Anns Lingerie and Mastectomy Center Inc | Durable Medical Equipment & Medical Supplies | 210 Hartman Ln, O Fallon, IL 62269-1779 | 2011-07-11 |
| Street Address |
974 WENTZVILLE PKWY |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-3695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| 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 |
|---|---|---|---|---|
| 1619318813 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2013-07-16 |
| 1215211636 | Health Aid Supplies, LLC | Durable Medical Equipment & Medical Supplies | 107 Creekside Office Dr, Wentzville, MO 63385-3289 | 2011-10-04 |
| 1790952588 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10 E Highway N, Wentzville, MO 63385-5901 | 2008-05-12 |
| 1326225277 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1053 Meyer Rd, Wentzville, MO 63385-3457 | 2008-01-23 |
| 1083629000 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1993 Wentzville Pkwy, Wentzville, MO 63385-3424 | 2006-07-29 |
| 1396762654 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1971 Wentzville Pkwy, Wentzville, MO 63385-3424 | 2006-07-16 |
| 1790034528 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3055 Bear Creek Dr, Wentzville, MO 63385-3502 | 2012-09-07 |
| 1538313424 | St Peters Bone and Joint Surgery, Inc | Durable Medical Equipment & Medical Supplies | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385-3814 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.