ALLIANCE DIABETIC SUPPLY (NPI# 1497851257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497851257 |
| Entity Type | Organization |
| Organization Name | ALLIANCE DIABETIC SUPPLY |
| Practice Address |
6570 Summer Oaks Cv Bartlett TN 38134-2857 |
| Practice Telephone | 9013870240 |
| Practice Fax Number | 9013734022 |
| Mailing Telephone | 9013870240 |
| Mailing Fax Number | 9013734022 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. AARON WILSON MUNN (PRESIDENT) |
| Authorized Official Telephone | 9013870240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 875 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4114260 | 05 |
| Street Address |
6570 SUMMER OAKS CV |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300335 | Jamie W Covington | Nurse Practitioner | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 | 2005-10-19 |
| 1992226153 | Penina T Danziger | Nurse Practitioner | 6570 Summer Oaks Cv, Bartlett, TN 38134 | 2017-06-28 |
| 1871700658 | Barbara P Evangelisti | Nurse Practitioner | 6570 Summer Oaks Cv, Bartlett, TN 38134 | 2007-05-17 |
| 1447347885 | Sandra J Boldreghini | Nurse Practitioner | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 | 2006-10-06 |
| 1295785095 | Wajih Istanbouli | Internal Medicine | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1912447467 | Somnath Drugs & Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 878 S Il Route 59, Bartlett, IL 60103-1633 | 2017-03-03 |
| 1184980575 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6670 Stage Road, Bartlett, TN 38134 | 2012-04-10 |
| 1710267240 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2942 Kirby Whitten Rd, Bartlett, TN 38134-2824 | 2011-08-29 |
| 1720396914 | American Access, Inc. | Durable Medical Equipment & Medical Supplies | 8380 Wolf Lake Drive, Suite 108, Bartlett, TN 38133-7109 | 2010-09-22 |
| 1083944334 | Together We Care | Durable Medical Equipment & Medical Supplies | 3322 Dabler Pl, Bartlett, TN 38134-3562 | 2010-01-09 |
| 1184892259 | Dr. Peter Benvenuto | Durable Medical Equipment & Medical Supplies | 2742 Bartlett Blvd, Bartlett, TN 38134-4530 | 2008-02-12 |
| 1720104458 | Leticia P Rodriguez | Durable Medical Equipment & Medical Supplies | 1301 Branden Ln, Bartlett, IL 60103-8924 | 2007-03-22 |
| 1518064005 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Bartlett Plz, Bartlett, IL 60103 | 2006-09-19 |
| 1699884981 | K&b Tennessee Corporation | Durable Medical Equipment & Medical Supplies | 6860 Summer Avenue, Bartlett, TN 38134-4743 | 2006-08-30 |
| 1730196734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6697 Stage Rd, Bartlett, TN 38134-3867 | 2006-08-02 |
| Find all providers in BARTLETT | ||||
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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.