Bundle Boosters RX

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BUNDLE BOOSTERS RX

Practice address

6901 Theodore St
Philadelphia, PA 19142-2106

Phone

(267) 349-1349

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Alexis BaxterNPI 1396561759

Title

Owner

Phone

(267) 349-1349

Specialties & licenses 1

Addresses

Tax ID family

Bundle Boosters RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cosset LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1023834488
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Baxter

  • Prosthetics Case Management
  • Philadelphia, PA
  • NPI 1396561759
  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1669063038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 WAXWING PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 THEODORE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422106",
            "telephone_number": "267-349-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNDLE BOOSTERS RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-349-1349",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Bunch-Harrison, OCCUPATIONAL THERAPI
• Aric C Bunch, CRNA
• Julia Elizabeth Bunch, LMFT
• Noah Adam Buncher, MD
• Sophia Grace Bunde, MD
• Jawanza Rashida Bundy, WHNP-BC, CNM
• Khatifa Bundy
• Nancy J Bunin, M.D.
• Klaudia Anna Bunkowski, PA-C
• Taylor Bunn-Newbill, PMHNP-BC

• Prosthetic/Orthotic Supplier in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.