Wellness Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

WELLNESS MEDICAL SUPPLY

Practice address

45 Main St Ste a
Boylston, MA 01505-1983

Phone

(508) 757-7048

Fax

(401) 729-5940

NPI assigned

Feb 24, 2012

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLNESS MEDICAL SUPPLYAs reported in NPPES

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

Authorized official

Name

Patrick Duggan

Title

Ceo

Phone

(508) 757-7048

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Wellness Medical Supply

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pure Medical Equipment & Service

  • Durable Medical Equipment & Medical Supplies
  • Fall River, MA
  • NPI 1164923967

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wellness Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Sudbury, MA
  • NPI 1760677785
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheryl Kelleher, NP

  • Nurse Practitioner
  • Southborough, MA
  • NPI 1124088349
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1669746541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MAIN ST STE A",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051983",
            "telephone_number": "508-757-7048",
            "fax_number": "978-443-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN ST STE A",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051983",
            "telephone_number": "508-757-7048",
            "fax_number": "401-729-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS MEDICAL SUPPLY",
        "enumeration_date": "2012-02-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-757-7048"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110134416B",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://brightree.net/F1/0124/PureMS/Default.aspx",
            "affiliation": "N",
            "endpointDescription": "All items are billed through brightree",
            "address_1": "45 Main St Ste A",
            "city": "Boylston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015051983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Town of Berlin, School Dept
• Town of Boylston
• Town of Boylston
• Town of Boylston, School Dept
• Anthony Tucci

• Oxygen Equipment & Supplies (DME) in Boylston, MA
• Providers in Boylston, MA by specialty
• Oxygen Equipment & Supplies (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.