Mastectomy Shoppe, LLC
NPI 1922763150 · Durable Medical Equipment & Medical Supplies · Indian Land, SC
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mastectomy Shoppe, LLC is a Durable Medical Equipment & Medical Supplies organization in Indian Land, SC (NPI 1922763150).
Provider details
- NPI number
- 1922763150
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Christen Tese, Managing Member(561) 573-9596
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pink Ribbon Gals
- Doing business as
- Pink Ribbon Gals
Registry dates
- Enumerated
- 2021-11-02
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is Mastectomy Shoppe, LLC's NPI number?
- Mastectomy Shoppe, LLC's National Provider Identifier (NPI) is 1922763150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mastectomy Shoppe, LLC?
- Mastectomy Shoppe, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Mastectomy Shoppe, LLC located?
- Mastectomy Shoppe, LLC's practice location on file with NPPES is 9700 Redstone Dr Ste 200, Indian Land, SC 29707-5409.
- What is Mastectomy Shoppe, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mastectomy Shoppe, LLC is (803) 548-8627.
- Does Mastectomy Shoppe, LLC accept Medicare?
- Mastectomy Shoppe, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mastectomy Shoppe, LLC?
- The authorized official listed on Mastectomy Shoppe, LLC's NPPES record is Christen Tese, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mastectomy Shoppe, LLC's NPI active?
- Yes — Mastectomy Shoppe, LLC's NPI (1922763150) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.