Diabetes Supply Center of the Midlands LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DIABETES SUPPLY CENTER OF THE MIDLANDS LLC

Practice address

10304 Crown Point Ave
Omaha, NE 68134-1060

Phone

(402) 399-8444

Fax

(402) 614-3850

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Russalesi

Title

Chief Compliance Officer

Phone

(484) 246-9499

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1992713481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 CROWN POINT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341060",
            "telephone_number": "402-399-8444",
            "fax_number": "402-614-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 CROWN POINT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341060",
            "telephone_number": "402-399-8444",
            "fax_number": "402-614-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SUPPLY CENTER OF THE MIDLANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09931",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2815035",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987867",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariella Di Leo, APRN-NP
• Dee Di
• Aminata Diabagate
• Diabetes & Endocrine Associates, P.C.
• Diabetes Supply Center of the Midlands LLC
• Diagnostic Radiology PC
• Diagnostic Radiology PC Vein Clinic
• Oumar Diakite
• Seydou Diakite
• Sidy Diakite

• Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.