DIABETES STORE, INCORPORATED (NPI# 1942502471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942502471 |
| Entity Type | Organization |
| Organization Name | DIABETES STORE, INCORPORATED |
| Other Organization Name | THE DIABETES STORE |
| Practice Address |
1203 Ridgeway Rd Ste 206 Memphis TN 38119-5317 |
| Mailing Address |
1760 Moriah Woods Blvd Ste 2 Memphis TN 38117-7128 |
| Practice Telephone | 9013123150 |
| Practice Fax Number | 9017637041 |
| Mailing Fax Number | 9013123152 |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2010-12-05 |
| Authorized Official Name | CHARLOTTE NUCKLES (PRESIDENT) |
| Authorized Official Telephone | 9013123150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 108001945 | TN | Suppliers |
| 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 |
| 1578867388 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 3349 Independence Dr Ste 105, Homewood, AL 35209-8328 | 2011-01-08 |
| 1235394206 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 7165 Swinnea Rd, B-2, Southaven, MS 38671-6360 | 2008-07-18 |
| 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 |
1203 RIDGEWAY RD STE 206 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314666 | Daniel H Wissinger | Ophthalmology | 1203 Ridgeway Rd, Ste 201, Memphis, TN 38119-5316 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| 1316566490 | Anointed Crown | Durable Medical Equipment & Medical Supplies | 2696 Central Ter, Memphis, TN 38111-1614 | 2020-04-09 |
| 1366007593 | Newsome and Associates, Inc | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 215, Memphis, TN 38111-3524 | 2019-05-02 |
| 1154820397 | Advanced Orthopedic Alliance | Durable Medical Equipment & Medical Supplies | 415 S Front St, Memphis, TN 38103-6404 | 2018-02-02 |
| 1932617750 | Patterson and Associates | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 214, Memphis, TN 38111-3524 | 2018-01-15 |
| 1114442266 | Crowdconomy, LLC | Durable Medical Equipment & Medical Supplies | 7124 Crestridge Rd, Memphis, TN 38119-8706 | 2017-08-10 |
| 1659893915 | Maymacs, Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 704, Memphis, TN 38119-5217 | 2017-07-08 |
| 1720509185 | All About Homecare, LLC | Durable Medical Equipment & Medical Supplies | 1320 Jackson Ave, Memphis, TN 38107-4351 | 2017-07-06 |
| 1598285264 | Alliance Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1266 Sycamore View Rd Ste 101, Memphis, TN 38134-7664 | 2017-06-23 |
| 1316496250 | Jimmy Clyce Weatherly Jr. | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave, Suite 14, Memphis, TN 38118-6023 | 2016-10-03 |
| Find all providers in MEMPHIS | ||||
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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.