Organization Active NPI

Adw Diabetes LLC

  • Durable Medical Equipment & Medical Supplies
  • Pompano Beach, FL
National Provider Identifier
1285821264
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADW DIABETES LLC
Practice address
2501 NW 34TH PL
Suite 35
Pompano Beach, FL 33069-5928
Phone
(877) 241-9002
Fax
(954) 975-3786
NPI assigned
Oct 3, 2007
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert M. McMahon, RPHNPI 1801166764
Title
Pharmacy Manager
Phone
(954) 415-1434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

2501 NW 34TH PL
Suite 35
Pompano Beach, FL 33069-5928

Mailing address

2501 NW 34TH PL
Ste 35
Pompano Beach, FL 33069-5928
Phone (877) 241-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034515 FL DME Supplier - Medical Supply Company 6305044272 1 other NPI on this enrollment
Practice locations: Pompano Beach, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Adw Diabetes, LLC2501 NW 34TH PL, Pompano Beach, FL 33069-5930(877) 241-9002 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Ostomy Supplies|Urological Supplies Accepts assignmentParticipating since Dec 26, 2008

National Provider Directory

National Provider Directory
Tax ID family
Adw Diabetes LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2501 NW 34th Pl
Ste 35
Pompano Beach, FL 33069
Phone (877) 241-9002

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1285821264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NW 34TH PL",
            "address_2": "STE 35",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695928",
            "telephone_number": "877-241-9002",
            "fax_number": "954-975-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NW 34TH PL",
            "address_2": "SUITE 35",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695928",
            "telephone_number": "877-241-9002",
            "fax_number": "954-975-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADW DIABETES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-415-1434",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.