DIABETIC SUPPLY CENTER (NPI# 1902052657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902052657 |
| Entity Type | Organization |
| Organization Name | DIABETIC SUPPLY CENTER |
| Practice Address |
21500 Harper Ave Suite 500 Saint Clair Shores MI 48080-2211 |
| Practice Telephone | 5863500623 |
| Practice Fax Number | 8887127443 |
| Mailing Telephone | 5863500623 |
| Mailing Fax Number | 8887127443 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | MR. NANDOR JOSEPH HERNADI JR. (PRESIDENT) |
| Authorized Official Telephone | 3134783268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497007595 | Diabetic Supply Center | Durable Medical Equipment & Medical Supplies | 6506 Cermak Rd, Berwyn, IL 60402-2323 | 2012-10-12 |
| Street Address |
21500 HARPER AVE SUITE 500 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1942434287 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 23191 Marter Rd, Saint Clair Shores, MI 48080-2717 | 2009-05-14 |
| 1730324146 | Comprehensive Diabetic Supplies, LLC | Durable Medical Equipment & Medical Supplies | 21541 Harper Ave, Saint Clair Shores, MI 48080-2207 | 2008-12-15 |
| 1144376914 | Collie Drugs Inc | Durable Medical Equipment & Medical Supplies | 21728 Harper Ave, Saint Clair Shores, MI 48080-2216 | 2007-01-26 |
| 1326106030 | American Durable Medical Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 21901 Harper Ave, Saint Clair Shores, MI 48080-2217 | 2006-12-05 |
| 1821109067 | The Dyament Group, Inc | Durable Medical Equipment & Medical Supplies | 21528 Harper Ave, Saint Clair Shores, MI 48080-2210 | 2006-08-31 |
| 1104935667 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 25100 Harper Avenue, Saint Clair Shores, MI 48081-2207 | 2006-08-29 |
| 1508975038 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 31079 Harper Avenue, Saint Clair Shores, MI 48082-1567 | 2006-08-29 |
| 1447369053 | Comfortably Yours Inc | Durable Medical Equipment & Medical Supplies | 23404 Greater Mack Ave, Saint Clair Shores, MI 48080-3424 | 2006-08-29 |
| 1154337731 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21211 Harper Ave, Saint Clair Shores, MI 48080-2208 | 2006-08-01 |
| 1669487708 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 29520 Harper Ave, Saint Clair Shores, MI 48081-1211 | 2006-07-29 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DIABETIC SUPPLY CENTER.
| 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.