Active NPI
Tuck Enterprises LLC
Doing business as American Diabetes Shop
- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
National Provider Identifier
1376836551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0003885
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.