Diabetes Supply Center Of The Midlands LLC

Pharmacy in Omaha, NE. Organization (NPI-2).

NPI number1992713481

StatusActive

Last updated in NPPESJul 3, 2024

Details

NPI: 1992713481
Entity type: Organization (NPI-2)
Legal business name: Diabetes Supply Center Of The Midlands LLC
Organization subpart: No
Enumeration date: Aug 3, 2006
Certification date: Jul 3, 2024
Last updated: Jul 3, 2024

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
333600000X	Pharmacy	–	–	Yes

Practice location

10304 Crown Point Ave
Omaha, NE 68134-1060

Phone 402-399-8444 · Fax 402-614-3850

Mailing address

10304 Crown Point Ave
Omaha, NE 68134-1060

Phone 402-399-8444 · Fax 402-614-3850

Authorized official

Wendy Russalesi
Chief Compliance Officer
4842469499

Is something wrong?

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