Organization Active NPI

First Choice Diabetic Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1689074858
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FIRST CHOICE DIABETIC SUPPLIES INC
Practice address
7505 Caribou CT
Charlotte, NC 28273-9604
Phone
(704) 236-7459
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Mr. Edward Perry Jackson
Title
Pres
Phone
(704) 236-7459

Specialties & licenses 1

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

Addresses

Primary practice location

7505 Caribou CT
Charlotte, NC 28273-9604

Mailing address

7505 Caribou CT
Charlotte, NC 28273-9604
Phone (704) 236-7459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1689074858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 CARIBOU CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282739604",
            "telephone_number": "704-236-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 CARIBOU CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282739604",
            "telephone_number": "704-236-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE DIABETIC SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "704-236-7459",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.