Healthcare Provider Details

I. General information

NPI: 1114833357
Provider Name (Legal Business Name): WORLD WIDE INNOVATIVE DME L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 SANFORD RD
LA VERGNE TN
37086-3789
US

IV. Provider business mailing address

197 SANFORD RD
LA VERGNE TN
37086-3789
US

V. Phone/Fax

Practice location:
  • Phone: 205-563-0768
  • Fax: 213-449-3733
Mailing address:
  • Phone: 205-563-0768
  • Fax: 213-449-3733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ZEESHAN ALI
Title or Position: OWNER
Credential:
Phone: 205-563-0768