DIABETES STORE, INCORPORATED (NPI# 1578867388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578867388 |
| Entity Type | Organization |
| Organization Name | DIABETES STORE, INCORPORATED |
| Other Organization Name | THE DIABETES STORE |
| Practice Address |
3349 Independence Dr Ste 105 Homewood AL 35209-8328 |
| Mailing Address |
1760 Moriah Woods Blvd Ste 2 Memphis TN 38117-7128 |
| Practice Telephone | 2052633951 |
| Practice Fax Number | 8002080863 |
| Mailing Telephone | 9013123150 |
| Mailing Fax Number | 9013123152 |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | THOMAS ROBERT WALTERS (GENERAL MANAGER) |
| Authorized Official Telephone | 9015696655 |
| 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 |
|---|---|---|---|
| AL | MEDICARE | 4425570003 | 01 |
| Other Name | Type Code |
|---|---|
| The Diabetes Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417592726 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 777 Deltona Blvd Ste 4, Deltona, FL 32725-7174 | 2019-11-11 |
| 1285191478 | Diabetes Store, Incorporated | Pharmacy | 1760 Moriah Woods Blvd Ste 2, Memphis, TN 38117-7128 | 2019-02-25 |
| 1235394206 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 7165 Swinnea Rd, B-2, Southaven, MS 38671-6360 | 2008-07-18 |
| 1942502471 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 1203 Ridgeway Rd, Ste 206, Memphis, TN 38119-5317 | 2010-12-05 |
| 1467508598 | Diabetes Store, Incorporated | Pharmacy | 1760 Moriah Woods Blvd, Suite 2, Memphis, TN 38117-7128 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Diabetes Store, Incorporated | 5182 W 76th Street, Edina, MN 55439 |
| Street Address |
3349 INDEPENDENCE DR STE 105 |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-8328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| 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 |
|---|---|---|---|---|
| 1962042689 | Elderly Central LLC | Durable Medical Equipment & Medical Supplies | 5790 Lagoon Road, Homewood, CA 96141-9614 | 2020-01-10 |
| 1750806444 | Softtouch Medical, LLC | Durable Medical Equipment & Medical Supplies | 237 Oxmoor Cir Ste 106, Homewood, AL 35209-6436 | 2017-08-03 |
| 1427504208 | A & G Medical Supllies, Inc | Durable Medical Equipment & Medical Supplies | 18019 Dixie Hwy Ste 1a, Homewood, IL 60430-3058 | 2016-08-31 |
| 1326499880 | Favor Medical Supplies & Transportation Services Inc | Durable Medical Equipment & Medical Supplies | 18350 Kedzie Ave, Ste 204, Homewood, IL 60430-2700 | 2016-06-27 |
| 1336595602 | Still Shot Medical Equipment | Durable Medical Equipment & Medical Supplies | 131 W Oxmoor Rd Ste 119, Homewood, AL 35209-6332 | 2016-05-05 |
| 1285064113 | Performance Bracing LLC | Durable Medical Equipment & Medical Supplies | 2914 Linden Ave, Homewood, AL 35209-2516 | 2013-11-13 |
| 1780904078 | Medical Supply Plus, Inc | Durable Medical Equipment & Medical Supplies | 831 Maple Ave, Suite 216, Homewood, IL 60430-2031 | 2010-06-09 |
| 1508010166 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 115 Distribution Dr, Homewood, AL 35209-6308 | 2008-11-10 |
| 1891813630 | Personal Comfort Supplies,inc | Durable Medical Equipment & Medical Supplies | 18656 Dixie Hwy, Homewood, IL 60430-3729 | 2007-03-27 |
| 1821129834 | Arbor Center for Eyecare | Durable Medical Equipment & Medical Supplies | 2640 West 183rd St, Homewood, IL 60430 | 2007-03-08 |
| Find all providers in HOMEWOOD | ||||
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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.