{"npi":"1679557342","type":"NPI-2","status":"active","name":{"display":"Diabetes Supply Of Charlotte","other":[],"organization_name":"DIABETES SUPPLY OF CHARLOTTE","authorised_official":"Pamela Sparrow"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"NC","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11601 ASBURY CHAPEL RD","city":"HUNTERSVILLE","state":"NC","postal_code":"280784631","country_code":"US","phone":"7049489075","fax":"7049481509"},{"purpose":"MAILING","street_1":"11601 ASBURY CHAPEL RD","city":"HUNTERSVILLE","state":"NC","postal_code":"280784631","country_code":"US","phone":"7049489075","fax":"7049481509"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7701782","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"0440545","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"0421G","state":"NC","issuer":"BCBS PROVIDER NUMBER"},{"type_code":"05","label":"Medicaid","value":"00713501A","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"20543855","state":"GA","issuer":"BCBS PROVIDER NUMBER"},{"type_code":"05","label":"Medicaid","value":"DM0863","state":"SC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-12-05","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}