Organization Active NPI

Bosons Pharmaceutical Corporation

  • Long Term Care Pharmacy
  • Silver Spring, MD
National Provider Identifier
1750737649
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P01948 Issued in MD
Legal business name
BOSONS PHARMACEUTICAL CORPORATION
Doing business as
The Medicine shoppe
Practice address
12838 New Hampshire Ave
Silver Spring, MD 20904-3352
Phone
(301) 622-0744
NPI assigned
May 10, 2016
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
Remi Olufotebi
Title
President
Phone
(301) 622-0744

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X P01948 MD Primary

Addresses

Primary practice location

12838 New Hampshire Ave
Silver Spring, MD 20904-3352

Mailing address

12838 New Hampshire Ave
Silver Spring, MD 20904-3352
Phone (301) 622-0744

Other identifiers 2

IdentifierTypeStateIssuer
2159941OtherPK
432050600MedicaidMD

Other names 1

  • The Medicine shoppe Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2211165Medicine Shoppe12838 New Hampshire Ave, Silver Spring, MD 20904Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bosons Pharmaceutical Corporation2 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.

Locations

12838 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 305-6410

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1750737649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12838 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043352",
            "telephone_number": "301-622-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12838 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043352",
            "telephone_number": "301-622-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSONS PHARMACEUTICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "OLUFOTEBI",
        "authorized_official_first_name": "REMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-622-0744"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P01948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159941",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432050600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

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.
  • 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.