Active NPI
Quality Diabetes Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Birmingham, AL
National Provider Identifier
1407966153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 485
- Legal business name
- QUALITY DIABETES SUPPLIES, INC.
- Practice address
- 438 Carr Ave
Suite 1
Birmingham, AL 35209-6147 - Phone
- (205) 942-0114
- Fax
- (295) 942-6472
- NPI assigned
- Aug 30, 2006
- 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
- Mr. Edward Mark Fredrickson
- Title
- President
- Phone
- (205) 942-0114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 485 | AL | Primary |
Addresses
Primary practice location
438 Carr Ave
Suite 1
Birmingham, AL 35209-6147
Mailing address
438 Carr Ave
Suite 1
Birmingham, AL 35209-6147
Phone (205) 942-0114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703878 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
438 Carr Ave
Ste 1
Birmingham, AL 35209
Phone (205) 942-0114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407966153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 CARR AVE",
"address_2": "SUITE 1",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096147",
"telephone_number": "205-942-0114",
"fax_number": "295-942-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 CARR AVE",
"address_2": "SUITE 1",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096147",
"telephone_number": "205-942-0114",
"fax_number": "295-942-6472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY DIABETES SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FREDRICKSON",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-942-0114",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703878",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.