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: July 19, 2026.

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

  • Organization
  • Durable Medical Equipment & Medical Supp...

About DIABETES STORE, INC.

This page provides the complete NPI Profile along with additional information for Diabetes Store, Inc., a provider established in Southaven, Mississippi operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1235394206 assigned on July 2008. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Diabetes Store, Inc.. The authorized official of this NPI record is Craig Brosseau (Secretary)

NPI
1235394206 Verify this NPI
Provider Legal Name
DIABETES STORE, INCORPORATED
Other Organization Name
DIABETES STORE, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7165 SWINNEA RD B-2 SOUTHAVEN, MS 38671
Location Phone
(662) 280-5533
Location Fax
(800) 208-0863
Mailing Address
1760 MORIAH WOODS BLVD SUITE 2 MEMPHIS, TN 38117
Mailing Phone
(901) 312-3150
Mailing Fax
(800) 208-0863
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2008
Last Update Date
11-11-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRAIG BROSSEAU

Authorized Official Title
SECRETARY
Authorized Official Phone
(952) 646-3255

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4425570002OTHER (01)MSMEDICARE
05033718MEDICAID (05)MS 

Reviews for DIABETES STORE, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235394206, enumerated as an "organization" on July 18, 2008.

The provider is located at 7165 SWINNEA RD B-2 SOUTHAVEN, MS 38671 and the phone number is (662) 280-5533.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.