DIABETES STORE, INC.
NPI 1235394206
Durable Medical Equipment & Medical Supplies in Southaven, MS

Active since July 18, 2008
7165 SWINNEA RD, B-2, SOUTHAVEN, MS 38671(662) 280-5533(800) 208-0863 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 11, 2022, Apr 12, 2022, Nov 18, 2021 and 2 more (5 updates tracked since 2016).

About Diabetes Store, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIABETES STORE, INC. (NPI 1235394206) is a healthcare organization registered as a durable medical equipment & medical supplies in Southaven, Mississippi and active in the NPI registry since July 2008. The organization lists Craig Brosseau, Secretary, as its authorized official.

NPPES Registry Identity

NPI1235394206
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDIABETES STORE, INCORPORATED
Location Address7165 SWINNEA RD, B-2Southaven, MS 38671-6360
Mailing Address1760 Moriah Woods Blvd, Suite 2Memphis, TN 38117-7128 · (901) 312-3150 · Fax (800) 208-0863
Fax(800) 208-0863
Organization SubpartNo
Authorized OfficialCraig BrosseauSecretary · (952) 646-3255
Enumeration DateJuly 18, 2008
Last NPPES UpdateNovember 11, 20225 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
NPI 1235394206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
7165 SWINNEA RD, Southaven, MS 38671

Other Names 1

Doing Business AsDiabetes Store, Inc.

Other Identifiers 2

Other4425570002MS · Medicare
Medicaid05033718MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
7165 SWINNEA RD, BLDG B-2
SOUTHAVEN, MS 38671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diabetes Store, Incorporated's NPI number?

The NPI number for Diabetes Store, Incorporated is 1235394206. It was assigned to this organization in the NPPES registry on July 18, 2008. The provider is doing business as Diabetes Store, Inc..

Where is Diabetes Store, Incorporated located?

Diabetes Store, Incorporated is located at 7165 Swinnea Rd B-2, Southaven, MS 38671. The listed phone number is (662) 280-5533.

What is Diabetes Store, Incorporated's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Diabetes Store, Incorporated was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.