Organization Active NPI

Tuck Enterprises LLC

Doing business as American Diabetes Shop

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
National Provider Identifier
1376836551
Registry record updated May 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0003885 Issued in AL
Legal business name
TUCK ENTERPRISES LLC
Doing business as
American Diabetes Shop
Practice address
8361 Chadburn Way
Montgomery, AL 36116-7277
Phone
(334) 430-1456
Fax
(334) 396-9882
NPI assigned
May 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2011

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

Authorized official

Name
Keith L Tuck
Title
Owner
Phone
(334) 430-1456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0003885 AL Primary

Addresses

Primary practice location

8361 Chadburn Way
Montgomery, AL 36116-7277

Mailing address

8361 Chadburn Way
Montgomery, AL 36116-7277
Phone (334) 430-1456

Other names 1

  • American Diabetes Shop Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306022400000",
    "number": "1376836551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 CHADBURN WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167277",
            "telephone_number": "334-430-1456",
            "fax_number": "334-396-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 CHADBURN WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167277",
            "telephone_number": "334-430-1456",
            "fax_number": "334-396-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCK ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-22",
        "last_updated": "2011-05-22",
        "status": "A",
        "authorized_official_last_name": "TUCK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-430-1456"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "0003885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Diabetes Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

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