Organization Active NPI

Choice Diabetic Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Huntersville, NC
National Provider Identifier
1851409783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHOICE DIABETIC SUPPLY, INC.
Practice address
103 South Old Statesville Road
Suite 6
Huntersville, NC 28078
Phone
(704) 875-6132
Fax
(704) 875-6147
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa K Rosenbaum
Title
President
Phone
(704) 875-6132

Specialties & licenses 1

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

Addresses

Primary practice location

103 South Old Statesville Road
Suite 6
Huntersville, NC 28078

Mailing address

PO Box 1256
Huntersville, NC 28070-1256
Phone (704) 875-6132

National Provider Directory

National Provider Directory

Locations

14628 S Old Statesville Rd
Ste 6
Huntersville, NC 28078
Phone (704) 875-6132

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851409783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1256",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280701256",
            "telephone_number": "704-875-6132",
            "fax_number": "704-875-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTH OLD STATESVILLE ROAD",
            "address_2": "SUITE 6",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-875-6132",
            "fax_number": "704-875-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE DIABETIC SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-875-6132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.

Verify at the official NPI Registry.