Organization Active NPI

Donald F Robitaille

  • Durable Medical Equipment & Medical Supplies
  • Woburn, MA
National Provider Identifier
1023140662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DONALD F ROBITAILLE
Doing business as
THE MEDICAL STOREROOM
Practice address
186 Cambridge Rd
Suite 2
Woburn, MA 01801-4793
Phone
(781) 933-0202
Fax
(781) 935-1955
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald F Robitaille
Title
Owner
Phone
(781) 933-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

186 Cambridge Rd
Suite 2
Woburn, MA 01801-4793

Mailing address

186 Cambridge Rd
Suite 2
Woburn, MA 01801-4793
Phone (781) 933-0202

Other identifiers 1

IdentifierTypeStateIssuer
337254OtherMABLUE CROSS BLUE SHEILD

Other names 1

  • THE MEDICAL STOREROOM Doing business as

National Provider Directory

National Provider Directory

Locations

186 Cambridge Rd
Ste 2
Woburn, MA 01801
Phone (781) 933-0202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023140662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CAMBRIDGE RD",
            "address_2": "SUITE 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014793",
            "telephone_number": "781-933-0202",
            "fax_number": "781-935-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CAMBRIDGE RD",
            "address_2": "SUITE 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014793",
            "telephone_number": "781-933-0202",
            "fax_number": "781-935-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD F ROBITAILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBITAILLE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-933-0202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "337254",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICAL STOREROOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.