OrganizationActive
Diabetes Store, Incorporated
NPI 1740875400 · Prosthetic/Orthotic Supplier · Memphis, TN
Diabetes Store, Incorporated is a Prosthetic/Orthotic Supplier organization in Memphis, TN (NPI 1740875400).
Provider details
- NPI number
- 1740875400
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Craig Brosseau, Secretary(952) 646-3255
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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 Ste 2
Memphis, TN 38117-7128
Phone: (901) 312-3150
Fax: (800) 208-0863
Street-level locationGet directions
Mailing address
1760 Moriah Woods Blvd Ste 2
Memphis, TN 38117-7128
Other names (DBA / former)
- Doing business as
- Diabetes Store, Inc.
- Doing business as
- Diabetes Store, Inc.
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Frequently asked questions
- What is Diabetes Store, Incorporated's NPI number?
- Diabetes Store, Incorporated's National Provider Identifier (NPI) is 1740875400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diabetes Store, Incorporated?
- Diabetes Store, Incorporated is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Diabetes Store, Incorporated located?
- Diabetes Store, Incorporated's practice location on file with NPPES is 1760 Moriah Woods Blvd Ste 2, Memphis, TN 38117-7128.
- What is Diabetes Store, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Diabetes Store, Incorporated is (901) 312-3150.
- Who is the authorized official for Diabetes Store, Incorporated?
- The authorized official listed on Diabetes Store, Incorporated's NPPES record is Craig Brosseau, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diabetes Store, Incorporated's NPI active?
- Yes — Diabetes Store, Incorporated's NPI (1740875400) is active in the NPPES registry as of the last update on 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.