Midstate Diabetic Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDSTATE DIABETIC SUPPLY

Practice address

2342 US Highway 52 N
Albemarle, NC 28001-8507

Phone

(704) 984-6651

NPI assigned

Jun 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Furr Johnson

Title

Owner

Phone

(704) 984-6651

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326085176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 US HIGHWAY 52 N",
            "address_2": "P.O. BOX2215",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018507",
            "telephone_number": "704-984-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 US HIGHWAY 52 N",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018507",
            "telephone_number": "704-984-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "FURR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-984-6651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med First Immediate Care & Family Practice, PA
• Medical Pharmacy of Albemarle, Inc.
• Caroline Merrick, LCMHCA
• Lori Sue Meyer, LPN/PP
• Midcarolina ENT
• Ashley Schenk Miller, LPCA
• Theresa M Miller, LCSW
• Benjamin Neal Millsap, MSW, LCSW, LCAS, CCS
• Yun Jae Min
• Morris Sheppard Minton, M,D,

• Durable Medical Equipment & Medical Supplies in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.