Individual provider Active NPI

Dane Osmanski

  • Pharmacist
  • Boston, MA
National Provider Identifier
1265833560
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3996 Issued in NH
Practice address
179 South St Ste 100
Boston, MA 02111-2729
Phone
(866) 445-6252
NPI assigned
Sep 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH240150 MA
Pharmacist 183500000X 202219819 VA
Pharmacist 183500000X 3996 NH Primary

Addresses

Primary practice location

179 South St Ste 100
Boston, MA 02111-2729

Mailing address

179 South St Ste 100
Boston, MA 02111-2729
Phone (866) 445-6252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PH240150MAMDPharmacist
3996NHMDPharmacist
202219819VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Koala Pharmacy Boston LLC CurrentSince Aug 15, 2021 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

179 South St
Ste 100
Boston, MA 02111
Phone (866) 445-6252

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1265833560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SOUTH ST STE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112729",
            "telephone_number": "866-445-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 SOUTH ST STE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112729",
            "telephone_number": "866-445-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMANSKI",
        "first_name": "DANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-06",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240150",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "202219819",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.