Active NPI
Dane Osmanski
- Pharmacist
- Boston, MA
National Provider Identifier
1265833560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH240150 | MA | MD | Pharmacist |
| 3996 | NH | MD | Pharmacist |
| 202219819 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koala Pharmacy Boston LLC | Current | 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.
-
- Mail Order Pharmacy
- Boston, MA
- NPI 1821761958
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Nashua, NH
- NPI 1720093701
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.