US Diabetic Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

US DIABETIC SUPPLY, INC

Practice address

1317 John Jones Rd
Bahama, NC 27503-9726

Phone

(919) 477-7508

Fax

(919) 471-8309

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan D Molinatto

Title

Managing Employee

Phone

(919) 477-7508

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1437201753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 JOHN JONES RD",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275039726",
            "telephone_number": "919-477-7508",
            "fax_number": "919-471-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 JOHN JONES RD",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275039726",
            "telephone_number": "919-477-7508",
            "fax_number": "919-471-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DIABETIC SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "MOLINATTO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "919-477-7508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702482",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meadows Place, LLC
• Medcare Hospitality, Inc.
• Jennifer Anne Niles, LCAS, LCSW
• Mary Elizabeth Nunes, MPT
• Rebecca J Sheffield, MS, CCC-SLP
• Darnella Warthen
• Susan White, OT/L
• Emily D. Wilkie, SLP

• Durable Medical Equipment & Medical Supplies in Bahama, NC
• Providers in Bahama, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.