DIABETES STORE, INC.
NPI 1417592726
Prosthetic/Orthotic Supplier in Deltona, FL

Active since November 11, 2019
777 DELTONA BLVD STE 4, DELTONA, FL 32725(901) 312-3150(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 2019).

About Diabetes Store, Inc. NPPES

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

DIABETES STORE, INC. (NPI 1417592726) is a healthcare organization registered as a prosthetic/orthotic supplier in Deltona, Florida and active in the NPI registry since November 2019. The organization lists Craig Brosseau, Secretary, as its authorized official.

NPPES Registry Identity

NPI1417592726
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameDIABETES STORE, INCORPORATED
Location Address777 DELTONA BLVD STE 4Deltona, FL 32725-7174
Mailing Address1760 Moriah Woods Blvd Ste 2Memphis, TN 38117-7128 · (901) 312-3150 · Fax (800) 208-0863
Fax(800) 208-0863
Organization SubpartNo
Authorized OfficialCraig BrosseauSecretary · (952) 646-3255
Enumeration DateNovember 11, 2019
Last NPPES UpdateNovember 11, 20225 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
NPI 1417592726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
777 DELTONA BLVD STE 4, Deltona, FL 32725

Other Names 1

Doing Business AsDiabetes Store, Inc.

Other Identifiers 1

Other4425570004FL · Medicare

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 1417592726. It was assigned to this organization in the NPPES registry on November 11, 2019. The provider is doing business as Diabetes Store, Inc..

Where is Diabetes Store, Incorporated located?

Diabetes Store, Incorporated is located at 777 Deltona Blvd Ste 4, Deltona, FL 32725. The listed phone number is (901) 312-3150.

What is Diabetes Store, Incorporated's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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.