Organization Active NPI

A1 Diabetes & Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1992799787
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
A1 DIABETES & MEDICAL SUPPLY, INC.
Practice address
1785 Nonconnah Blvd
Suite 110
Memphis, TN 38132-2104
Phone
(800) 316-7955
Fax
(888) 491-3050
NPI assigned
Sep 7, 2005
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Mr. John Pereira
Title
Ceo
Phone
(321) 325-6047

Specialties & licenses 1

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

Addresses

Primary practice location

1785 Nonconnah Blvd
Suite 110
Memphis, TN 38132-2104

Mailing address

1785 Nonconnah Blvd
Suite 110
Memphis, TN 38132-2104
Phone (800) 316-7955

Other names 1

  • Lake Diabetes & Medical Supply, Inc. Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

636 S Bay St
Eustis, FL 32726
Phone (352) 589-1177

1785 Nonconnah Blvd
Ste 107B
Memphis, TN 38132
Phone (800) 316-7955

1785 Nonconnah Blvd
Ste 110
Memphis, TN 38132
Phone (901) 730-7769

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1992799787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 NONCONNAH BLVD",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322104",
            "telephone_number": "800-316-7955",
            "fax_number": "888-491-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 NONCONNAH BLVD",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322104",
            "telephone_number": "800-316-7955",
            "fax_number": "888-491-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 DIABETES & MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-325-6047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Diabetes & Medical Supply, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.