Alliance Diabetic Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

875 Issued in TN

Legal business name

ALLIANCE DIABETIC SUPPLY

Practice address

6570 Summer Oaks CV
Bartlett, TN 38134-2857

Phone

(901) 387-0240

Fax

(901) 373-4022

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Wilson Munn

Title

President

Phone

(901) 387-0240

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1497851257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6570 SUMMER OAKS CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342857",
            "telephone_number": "901-387-0240",
            "fax_number": "901-373-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 SUMMER OAKS CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342857",
            "telephone_number": "901-387-0240",
            "fax_number": "901-373-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-387-0240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114260",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Taher Al-Taher I, MD
• Sue Ellen Alexander
• Mahmood Ali, M.D.
• All & All Diagnostics
• All Tennessee Care Givers, Inc
• Mohammed Mufeed Alnaaman, PHARMACIST
• Erin Alana Altomare, NP
• Lorena Beatriz Alvarez, D.P.M.
• Amedisys Hospice, L.L.C.
• American Access, Inc.

• Durable Medical Equipment & Medical Supplies in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• 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.