THE DIABETES AND RESPIRATORY STORE
NPI 1467508598
Pharmacy in Memphis, TN

Active since January 25, 2007
1760 MORIAH WOODS BLVD, SUITE 2, MEMPHIS, TN 38117(901) 312-3150(800) 208-0683 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 1 more (4 updates tracked since 2019).

  • Organization
  • Pharmacy
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About THE DIABETES AND RESPIRATORY STORE

This page provides the complete NPI Profile along with additional information for The Diabetes And Respiratory Store, a provider established in Memphis, Tennessee operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1467508598 assigned on January 2007. The practitioner's primary taxonomy code is 333600000X with license number 0000004074 (TN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as The Diabetes And Respiratory Store. The authorized official of this NPI record is Craig Brosseau (Secretary)

NPI
1467508598 Verify this NPI
Provider Legal Name
DIABETES STORE, INCORPORATED
Other Organization Name
THE DIABETES AND RESPIRATORY STORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1760 MORIAH WOODS BLVD SUITE 2 MEMPHIS, TN 38117
Location Phone
(901) 312-3150
Location Fax
(800) 208-0683
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
01-25-2007
Last Update Date
11-11-2022
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The Diabetes And Respiratory Store is a medicare supplier with PTAN 20409425 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

Location Map

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

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
0000004074
License State
TN
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

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

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

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
4437643OTHER (01)TNNCPDP

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20409425
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other, MSC With Orthotic Personnel, MSC With Prosthetic Personnel.
Provider Type List
MEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL.
Competitive Bidding
NO

Supplies List

  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

Reviews for THE DIABETES AND RESPIRATORY STORE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
1760 MORIAH WOODS BLVD, 2-B
MEMPHIS, TN 38117
Durable Medical Equipment & Medical Supplies
1760 MORIAH WOODS BLVD, SUITE 2
MEMPHIS, TN 38117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467508598, enumerated as an "organization" on January 25, 2007.

The provider is located at 1760 MORIAH WOODS BLVD SUITE 2 MEMPHIS, TN 38117 and the phone number is (901) 312-3150.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. Please consult your insurance carrier or call the provider to verify.