The Diabetic Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE DIABETIC STORE

Practice address

7130 Mount Zion Blvd
Suite 10
Jonesboro, GA 30236-2566

Phone

(770) 473-6811

Fax

(770) 478-0238

NPI assigned

Dec 7, 2006

Last updated

Aug 22, 2020By 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

Gregory Alvarez, DPM

Title

Podiatrist

Phone

(770) 460-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972662856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD",
            "address_2": "SUITE 10",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "770-473-6811",
            "fax_number": "770-478-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD",
            "address_2": "SUITE 10",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "770-473-6811",
            "fax_number": "770-478-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIABETIC STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "770-460-7600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Allen Taylor Jr., DMD
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• The Empowerment Academy for Girls and Women, Inc.
• The Eyes Have It, LLC
• The Jonesboro Ga Assisted Living Center LLC
• The Journey Begins Inc

• Durable Medical Equipment & Medical Supplies in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• 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.