Diabetic Shoppe Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SHOPPE INC

Practice address

909 Highland Ave Ste B
Selma, AL 36701-4965

Phone

(334) 872-0150

NPI assigned

Oct 29, 2007

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Rushing

Title

President

Phone

(334) 872-0150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1952580755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HIGHLAND AVE STE B",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014965",
            "telephone_number": "334-872-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HIGHLAND AVE STE B",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014965",
            "telephone_number": "334-872-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-872-0150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009914109",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Grayson Davis, FNP
• Deidre J. Russell, M.D.,LLC
• Mezzy Anne Bernardino Dela Pierre, RN, BSN
• Glenn Ray Delp, M.D.
• Holland Dempsey
• Diversicare of Selma, LLC (Park Place)
• Patrice Noreen Donahue, M.D.
• Doss Home Health Care
• Dr. Jeffery B Ford & Assoc.
• Dr. Jeffery B. Ford and Assoc. LLC

• Durable Medical Equipment & Medical Supplies in Selma, AL
• Providers in Selma, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.