Organization Active NPI

Diabetic Resources and Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1487750493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90012840MedicaidKY

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.