NPIMap

Organization Active NPI

Innovative Diabetes Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Harahan, LA
National Provider Identifier
1740480482
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16193382 Issued in LA
Legal business name
INNOVATIVE DIABETES SUPPLY, LLC
Practice address
824 Elmwood Park Blvd Ste 155
Harahan, LA 70123-3322
Phone
(504) 708-5848
Fax
(504) 708-5846
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Ms. Cynthia L. Pazos
Title
Owner
Phone
(504) 289-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16193382 LA Primary

Addresses

Primary practice location

824 Elmwood Park Blvd Ste 155
Harahan, LA 70123-3322

Mailing address

358 Walter Rd
River Ridge, LA 70123-3225
Phone (504) 289-7345

Other names 1

  • DMS Health Solutions, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

10 Commerce Ct
Ste C
New Orleans, LA 70123
Phone (504) 734-2353

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1740480482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 WALTER RD",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701233225",
            "telephone_number": "504-289-7345",
            "fax_number": "504-667-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 ELMWOOD PARK BLVD STE 155",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233322",
            "telephone_number": "504-708-5848",
            "fax_number": "504-708-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DIABETES SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "PAZOS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-289-7345",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "16193382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMS Health Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harahan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.