Organization Active NPI

Diabetic Warehouse, LLC

  • Prosthetic/Orthotic Supplier
  • Lake Charles, LA
National Provider Identifier
1316944606
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DIABETIC WAREHOUSE, LLC
Practice address
4417 Lake St
Lake Charles, LA 70605-4311
Phone
(337) 474-5972
Fax
(337) 479-0485
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Julie A Flaherty
Title
Owner
Phone
(337) 474-5972

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4417 Lake St
Lake Charles, LA 70605-4311

Mailing address

4417 Lake St
Lake Charles, LA 70605-4311
Phone (337) 474-5972

Other identifiers 1

IdentifierTypeStateIssuer
1469866MedicaidLA

National Provider Directory

National Provider Directory

Locations

4417 Lake St
Lake Charles, LA 70605
Phone (337) 474-5972

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316944606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054311",
            "telephone_number": "337-474-5972",
            "fax_number": "337-479-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054311",
            "telephone_number": "337-474-5972",
            "fax_number": "337-479-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC WAREHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-5972"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.