The Hospice Store and Supplies

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

DME16726 Issued in ID

Legal business name

THE HOSPICE STORE AND SUPPLIES

Practice address

134 N 3966 E
Address 2
Rigby, ID 83442-5772

Phone

(208) 251-1032

Fax

(208) 745-8739

NPI assigned

Oct 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Karl Bosh

Title

Owner/Manager

Phone

(208) 251-1032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1851677827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 3966 E",
            "address_2": "ADDRESS 2",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425772",
            "telephone_number": "208-251-1032",
            "fax_number": "208-745-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 3966 E",
            "address_2": "ADDRESS 2",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425772",
            "telephone_number": "208-251-1032",
            "fax_number": "208-745-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPICE STORE AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "BOSH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-251-1032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": "DME16726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Rigby, ID
• Providers in Rigby, ID by specialty
• Oxygen Equipment & Supplies (DME) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.