Diabetes Store, Incorporated

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETES STORE, INCORPORATED

Practice address

3349 Independence Dr Ste 105
Homewood, AL 35209-8328

Phone

(205) 263-3951

Fax

(800) 208-0863

NPI assigned

Jan 8, 2011

Organization subpart

No

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

Authorized official

Name

Craig Brosseau

Title

Secretary

Phone

(952) 646-3255

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Diabetes Store, Inc. Doing business as

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1578867388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MORIAH WOODS BLVD STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177128",
            "telephone_number": "901-312-3150",
            "fax_number": "800-208-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 INDEPENDENCE DR STE 105",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352098328",
            "telephone_number": "205-263-3951",
            "fax_number": "800-208-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES STORE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "BROSSEAU",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-646-3255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4425570003",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240932",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Store, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney L Dennis, M.D.
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• Devansh Lab Werks,Inc
• William T Devos, MD
• Diamond Smiles Homewood
• DLW Medical Group
• Luke Dobbins, DPT
• Savannah Kathryn Donahoo, MSN, FNP-BC
• Claire Hood Donaldson, PAC

• Durable Medical Equipment & Medical Supplies in Homewood, AL
• Providers in Homewood, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.