Active NPI
Diabetic Resources and Medical Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
National Provider Identifier
1487750493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DIABETIC RESOURCES AND MEDICAL SUPPLIES, INC.
- Practice address
- 4160 Westport Rd Ste E
Louisville, KY 40207-2746 - Phone
- (502) 895-3888
- Fax
- (502) 895-0051
- NPI assigned
- Sep 16, 2006
- Last updated
- Aug 22, 2020
- 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
- Ms. Debbie Zellers
- Title
- Owner
- Phone
- (503) 895-3888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
4160 Westport Rd Ste E
Louisville, KY 40207-2746
Mailing address
4160 Westport Rd Ste E
Louisville, KY 40207-2746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90012840 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
4160 Westport Rd
Ste E
Louisville, KY 40207
Phone (502) 895-3888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487750493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 WESTPORT RD STE E",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 WESTPORT RD STE E",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072746",
"telephone_number": "502-895-3888",
"fax_number": "502-895-0051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC RESOURCES AND MEDICAL SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZELLERS",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-895-3888",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90012840",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Diabetes Care & Education Inc
- Diabetes Care & Education, Inc
- Diabetes Control Center, LLC
- Diabetes Resource Center, Inc
- Diabetic and Medical Resources Corp
- Catrinel Diaconeasa, M.D.
- Diagnostic Imaging Alliance of Louisville PSC
- Diagnostic Medical Imaging Associates, PSC. (Dmia)
- Diagnostic X-Ray Physicians, PSC
- Kimberly R Dial
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.