Organization Active NPI

Comprehensive Diabetic Solutions

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1497785182
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000868 Issued in TN
Legal business name
COMPREHENSIVE DIABETIC SOLUTIONS
Practice address
3251 Poplar Ave
Suite 23
Memphis, TN 38111-3609
Phone
(901) 327-9440
Fax
(901) 452-6081
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mrs. Beth McKinzie
Title
Program Director
Phone
(901) 327-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000868 TN Primary

Addresses

Primary practice location

3251 Poplar Ave
Suite 23
Memphis, TN 38111-3609

Mailing address

3251 Poplar Ave
Suite 23
Memphis, TN 38111-3609
Phone (901) 327-9440

Other identifiers 2

IdentifierTypeStateIssuer
0000004446OtherTNPHARMACY
1455061MedicaidTN

National Provider Directory

National Provider Directory

Locations

3251 Poplar Ave
Ste 23
Memphis, TN 38111
Phone (901) 327-9440

3251 Poplar Ave
#23
Memphis, TN 38111
Phone (901) 327-9440

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1497785182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 POPLAR AVE",
            "address_2": "SUITE 23",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113609",
            "telephone_number": "901-327-9440",
            "fax_number": "901-452-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 POPLAR AVE",
            "address_2": "SUITE 23",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113609",
            "telephone_number": "901-327-9440",
            "fax_number": "901-452-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DIABETIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MCKINZIE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "901-327-9440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "0000004446",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455061",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.