OrganizationActive
Diabetes Store, Incorporated
NPI 1467508598 · Pharmacy · Memphis, TN
Provider details
- NPI number
- 1467508598
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Craig Brosseau, Secretary(952) 646-3255
- License
- 0000004074 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1760 Moriah Woods Blvd
Suite 2
Memphis, TN 38117-7128
Phone: (901) 312-3150
Fax: (800) 208-0683
Street-level locationGet directions
Mailing address
1760 Moriah Woods Blvd
Memphis, TN 38117-7128
Other names (DBA / former)
- Doing business as
- Diabetes and Respiratory Store
- Doing business as
- The Diabetes and Respiratory Store
- Doing business as
- The Diabetes and Respiratory Store
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.