THE DIABETIC SUPER STORE INC NPI 1265505549

NPI Information

NPI: 1265505549
Provider Name: THE DIABETIC SUPER STORE INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address: 164 E RACE ST
KINGSTON, TN
ZIP 37763
Phone: (865) 717-1144

Map and Directions

Get Directions

NPI Details

THE DIABETIC SUPER STORE INC is a durable medical equipment medical supplies in Kingston, TN. The provider is 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. THE DIABETIC SUPER STORE INC NPI is 1265505549. The provider is registered as an organization entity type.

The provider's business location address is:

164 E RACE ST
KINGSTON, TN
ZIP 37763-823
Phone: (865) 717-1144
Fax: (865) 717-0184

The provider's authorized official is Chris M Cox .
The authorized official title is Ceo and has the following contact phone number (865) 717-1144.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1454421	MEDICAID	TENNESSEE
2	4082388	OTHER		BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI