Active NPI
A1 Diabetes & Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
National Provider Identifier
1992799787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba A1 Pharmacy Services
- Community/Retail Pharmacy
- Southaven, MS
- NPI 1356693436
Member Of
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
- A-Tran Non-Emergency Medical Transportation (N/a)
- A&a Express Transportation,LLC
- A&D Healthcare LLC (Mid-South Medical & Mobility)
- A&D Healthcare LLC (Mid South Medical&Mobility)
- A1 Carriers LLC
- A1 Family Physicians
- A1 Support Services LLC
- A1Medrunners
- Aaa Psychiatric Services, PLLC
- Roxanne J Aaron, AU.D., CCC-A, FAAA
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.