The Diabetic Store LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE DIABETIC STORE LLC

Practice address

2815 Red Fox CT
Arlington, TX 76006-2659

Phone

(214) 729-3410

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Altonia Williams

Title

Owner

Phone

(214) 729-3410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1992155717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 RED FOX CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 RED FOX CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062659",
            "telephone_number": "214-729-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIABETIC STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-729-3410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Arlington, TX
• Providers in Arlington, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.