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
Organization subpart
Yes
Parent organization
ADW DIABETES LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Robert Michael McMahon, RPH
Title
Pharmacy Manager
Phone
(877) 241-9002

Corporate family (same tax ID) 3

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

National Provider Directory

National Provider Directory
Tax ID family
Adw Diabetes LLC (4 organizations share this tax ID)
Part of
Adw Diabetes LLC

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2024.

{
    "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.