The Diabetic Super Store Inc in Kingston - Durable Medical Equipment & Medical Supplies
The Diabetic Super Store Inc - NPI 1265505549
The Diabetic Super Store Inc is a Durable Medical Equipment & Medical Supplies in Kingston, Tennessee. The Diabetic Super Store Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for The Diabetic Super Store Inc is 1265505549. The last update date is 2020-08-22.
The Diabetic Super Store Inc's current location address is 164 E Race St, Kingston, Tennessee. You can contact this provider via phone number 8657171144 and fax number 8657170184. The mailing address for The Diabetic Super Store Inc is 164 E Race St, Kingston, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Diabetic Super Store Inc |
|---|---|
| Address | 164 E Race St, Kingston, Tennessee |
| Phone Number | 8657171144 |
| Fax Number | 8657170184 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Cox M Chris |
| Telephone Number | 8657171144 |
NPI Number Detail
| NPI Number | 1265505549 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 164 E Race St |
|---|---|
| City | Kingston |
| State | Tennessee (TN) |
| Post Code | 377632823 |
| Phone Number | 8657171144 |
| Fax Number | 8657170184 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1454421 | TN | -- | |
| 4082388 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the The Diabetic Super Store Inc's 1265505549?
The The Diabetic Super Store Inc's NPI (National Provider Identifier) Number is 1265505549. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of The Diabetic Super Store Inc?
The The Diabetic Super Store Inc is physically situated at 164 E Race St, in the city of Kingston, state of TN, with the postal code 377632823.
What is The Diabetic Super Store Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Diabetic Super Store Inc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the The Diabetic Super Store Inc receive the assignment of its 1265505549 from the Centers for Medicare & Medicaid Services?
The The Diabetic Super Store Inc was issued its 1265505549 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information regarding The Diabetic Super Store Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Diabetic Super Store Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.