Heartland Diabetic Supplies LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

6-00316 Issued in KS

Legal business name

HEARTLAND DIABETIC SUPPLIES LLC

Practice address

10703 W. 149TH Street
Overland Park, KS 66221

Phone

(913) 538-7582

Fax

(913) 897-7709

NPI assigned

Oct 3, 2006

Last updated

Jul 21, 2022By 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

Ms. Lora Lynn Mora

Title

Owner

Phone

(913) 538-7582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396830980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 W. 149TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "913-538-7582",
            "fax_number": "913-897-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10703 W. 149TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "913-538-7582",
            "fax_number": "913-897-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DIABETIC SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-538-7582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "KS",
            "license": "6-00316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Non-Pharmacy Dispensing Site in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.