Active NPI
Donald F Robitaille
- Durable Medical Equipment & Medical Supplies
- Woburn, MA
National Provider Identifier
1023140662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337254 | Other | MA | BLUE CROSS BLUE SHEILD |
Other names 1
- THE MEDICAL STOREROOM
National Provider Directory
National Provider DirectoryLocations
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.