Organization Active NPI

Booras Medical Supply

Doing business as Osborne Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lynn, MA
National Provider Identifier
1417068560
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BOORAS MEDICAL SUPPLY
Doing business as
Osborne Medical Supply
Practice address
59 Essex St
Lynn, MA 01902-1712
Phone
(781) 598-3501
Fax
(781) 598-3552
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Williams Booras
Title
Owner and Pres
Phone
(781) 598-3501

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 9321 MA

Addresses

Primary practice location

59 Essex St
Lynn, MA 01902-1712

Mailing address

59 Essex St
Lynn, MA 01902-1712
Phone (781) 598-3501

Other identifiers 2

IdentifierTypeStateIssuer
0411159MedicaidMA
2209321OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • OSBORNE MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

59 Essex St
Lynn, MA 01902
Phone (781) 598-3500

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1417068560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ESSEX ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019021712",
            "telephone_number": "781-598-3501",
            "fax_number": "781-598-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ESSEX ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019021712",
            "telephone_number": "781-598-3501",
            "fax_number": "781-598-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOORAS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "BOORAS",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER AND PRES",
        "authorized_official_telephone_number": "781-598-3501"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "9321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411159",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2209321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSBORNE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.