Koala Pharmacy Boston LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

KOALA PHARMACY BOSTON LLC

Practice address

179 South St Ste 100
Boston, MA 02111-2729

Phone

(866) 445-6252

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

Dane Osmanski, RPHNPI 1265833560

Title

Authorized Person

Phone

(866) 445-6252

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dane Osmanski

  • Pharmacist
  • Boston, MA
  • NPI 1265833560
  NPD Authorized official

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1821761958",
    "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": {
        "organization_name": "KOALA PHARMACY BOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "OSMANSKI",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "866-445-6252",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Ko, M.D.
• Narae Ko, MD
• Phebe Sill Ko
• Vincent Ko, MD
• Koa Health Digital Solutions, LLC
• Debbie Koay, PHARMD
• Frances Lydia Koback, MD
• Audrey Nebergall Kobayashi, MD, PHD
• Ryan Kobayashi, MD, MS
• Yasuyuki Kobayashi, MD

• Mail Order Pharmacy in Boston, MA
• Providers in Boston, MA by specialty
• Mail Order Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.