NPIMap

Organization Active NPI

Adw Diabetes LLC

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
National Provider Identifier
1407618168
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADW DIABETES LLC
Practice address
14700 Metcalf Ave Ste 130
Overland Park, KS 66223-2211
Phone
(877) 241-9002
Fax
(954) 975-3786
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ADW DIABETES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Robert Michael McMahon, RPHNPI 1801166764
Title
Pharmacy Manager
Phone
(877) 241-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

14700 Metcalf Ave Ste 130
Overland Park, KS 66223-2211

Mailing address

2501 NW 34TH PL Ste 35
Pompano Beach, FL 33069-5930
Phone (877) 241-9002

National Provider Directory

National Provider Directory
Tax ID family
Adw Diabetes LLC4 organizations share this tax ID, including this one
Part of
Adw Diabetes LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1407618168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NW 34TH PL STE 35",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695930",
            "telephone_number": "877-241-9002",
            "fax_number": "954-975-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 METCALF AVE STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232211",
            "telephone_number": "877-241-9002",
            "fax_number": "954-975-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADW DIABETES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADW DIABETES LLC",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "877-241-9002",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.