Active NPI
Diabetes Supply of Charlotte
- Durable Medical Equipment & Medical Supplies
- Huntersville, NC
National Provider Identifier
1679557342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DIABETES SUPPLY OF CHARLOTTE
- Practice address
- 11601 Asbury Chapel Rd
Huntersville, NC 28078-4631 - Phone
- (704) 948-9075
- Fax
- (704) 948-1509
- NPI assigned
- Dec 5, 2005
- 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
- Mrs. Pamela L Sparrow
- Title
- Owner
- Phone
- (704) 948-9075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Primary |
Addresses
Primary practice location
11601 Asbury Chapel Rd
Huntersville, NC 28078-4631
Mailing address
11601 Asbury Chapel Rd
Huntersville, NC 28078-4631
Phone (704) 948-9075
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7701782 | Medicaid | NC | |
| 0440545 | Medicaid | MS | |
| 0421G | Other | NC | BCBS PROVIDER NUMBER |
| 00713501A | Medicaid | GA | |
| 20543855 | Other | GA | BCBS PROVIDER NUMBER |
| DM0863 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679557342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 ASBURY CHAPEL RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280784631",
"telephone_number": "704-948-9075",
"fax_number": "704-948-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 ASBURY CHAPEL RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280784631",
"telephone_number": "704-948-9075",
"fax_number": "704-948-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETES SUPPLY OF CHARLOTTE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPARROW",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-948-9075",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701782",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440545",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0421G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00713501A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "20543855",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM0863",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
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.