Diabetic Supplies Com Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

602049047 Issued in WA

Legal business name

DIABETIC SUPPLIES COM INC

Doing business as

DiabeticSupplies.com

Practice address

107 SW 13TH Ave
Battle Ground, WA 98604-3122

Phone

(360) 723-9001

Fax

(360) 723-9030

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Kay Luna, COTA, CPED

Title

President Ceo

Phone

(360) 723-9002

Specialties & licenses 1

Addresses

Other names 1

• DiabeticSupplies.com Doing business as

Locations

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1427050442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W MAIN ST",
            "address_2": "SUITE 107-388",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044236",
            "telephone_number": "360-723-9001",
            "fax_number": "360-723-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043122",
            "telephone_number": "360-723-9001",
            "fax_number": "360-723-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLIES COM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "360-723-9002",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA, CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602049047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiabeticSupplies.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine De Bel, RN, IBCLC, CLC
• Amy E Delia, RPH
• Alexandra Katherine Demetro, ND, LM
• Christina Maria Demetro, LMT
• Regina Lenore Devereaux, LMT
• Haley Dietz
• Aliah Dinnocenzo, LMT
• Direct Care Clinics US PC
• Monique Renae Dodge
• Eric Doerfler, MD

• Durable Medical Equipment & Medical Supplies in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.