William J Fredericks Jr

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILLIAM J FREDERICKS JR

Doing business as

Allcare Medical Supply

Practice address

30 Grafton St
Millbury, MA 01527-3918

Phone

(508) 865-4857

Fax

(508) 865-6370

NPI assigned

Dec 14, 2005

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Joseph Fredericks

Title

Owner

Phone

(508) 865-4857

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALLCARE MEDICAL SUPPLY Doing business as

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1245215987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GRAFTON ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273918",
            "telephone_number": "508-865-4857",
            "fax_number": "508-865-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GRAFTON ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273918",
            "telephone_number": "508-865-4857",
            "fax_number": "508-865-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J FREDERICKS JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-865-4857"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539353",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLCARE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Millbury, MA
• Providers in Millbury, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.