A1 DIABETES & MEDICAL SUPPLY INC. NPI 1992799787

NPI Information

NPI: 1992799787
Provider Name: A1 DIABETES & MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Former Legal Business Name: LAKE DIABETES & MEDICAL SUPPLY, INC.
Address: 1785 NONCONNAH BLVD
SUITE 110
MEMPHIS, TN
ZIP 38132
Phone: (800) 316-7955

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NPI Details

A1 DIABETES & MEDICAL SUPPLY, INC. is a durable medical equipment medical supplies in Memphis, 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. A1 DIABETES & MEDICAL SUPPLY, INC. NPI is 1992799787. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lake Diabetes & Medical Supply, Inc..

The provider's business location address is:

1785 NONCONNAH BLVD
SUITE 110
MEMPHIS, TN
ZIP 38132-104
Phone: (800) 316-7955
Fax: (888) 491-3050

The provider's authorized official is John Pereira .
The authorized official title is Ceo and has the following contact phone number (321) 325-6047.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 9/16/2014.

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	0195730003	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PARTICIPATING
2	R9284	OTHER	FLORIDA	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

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