Leyde Diabetic Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEYDE DIABETIC SUPPLIES

Practice address

4607 Franklin Ave
Suite 214
Wilmington, NC 28403-0603

Phone

(910) 305-1129

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Hazel Smith

Title

Owner/President

Phone

(910) 305-1129

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1841512787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 FRANKLIN AVE",
            "address_2": "SUITE 214",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 FRANKLIN AVE",
            "address_2": "SUITE 214",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030603",
            "telephone_number": "910-305-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYDE DIABETIC SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-305-1129"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakeeta Lewis, LCSWA
• Trythena Aveline Lewis, R.N.
• William Lewis, MD
• Yvonne Roberts Lewis
• Stuart Bryson Ley, M.D.
• LG Nutrition LLC
• LH Langley, PLLC
• Jamie Li
• Liberty Commons Nursing Center Inc
• Liberty Commons Nursing Center Inc

• Durable Medical Equipment & Medical Supplies in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.