NPIMap

Organization Active NPI

Diabetic Warehouse, LLC

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
National Provider Identifier
1295849453
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0448480-001 Issued in LA
Legal business name
DIABETIC WAREHOUSE, LLC
Practice address
3839 Old US Hwy 45 N
Suite B
Meridian, MS 39301
Phone
(601) 474-3300
Fax
(601) 474-3317
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mrs. Tena Satcher
Title
President
Phone
(601) 474-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0448480-001 LA Primary

Addresses

Primary practice location

3839 Old US Hwy 45 N
Suite B
Meridian, MS 39301

Mailing address

3839 Old US Hwy 45 N
Suite B
Meridian, MS 39301
Phone (601) 474-3300

Other identifiers 1

IdentifierTypeStateIssuer
1469866MedicaidLA

National Provider Directory

National Provider Directory

Locations

3839 Highway 45 N
Ste B
Meridian, MS 39301
Phone (601) 474-3300

3839 Old Highway 45 N
Ste B
Meridian, MS 39301
Phone (601) 474-3300

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1295849453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 OLD US HWY 45 N",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-474-3300",
            "fax_number": "601-474-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 OLD US HWY 45 N",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-474-3300",
            "fax_number": "601-474-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC WAREHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SATCHER",
        "authorized_official_first_name": "TENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-474-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "0448480-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.