Organization Active NPI

MDS Capital LLC

  • Home Infusion Therapy Pharmacy
  • Bohemia, NY
National Provider Identifier
1003297854
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
033789 Issued in NY
Legal business name
MDS CAPITAL LLC
Practice address
140 Keyland CT Unit 27
Bohemia, NY 11716-2655
Phone
(631) 750-9088
Fax
(631) 250-9087
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Anthony Frank Buscaino, LICENSED PHARMACISTNPI 1265723555
Title
Supervising Pharmacist
Phone
(631) 750-9088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X 033789 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

140 Keyland CT Unit 27
Bohemia, NY 11716-2655

Mailing address

140 Keyland CT Unit 27
Bohemia, NY 11716-2655
Phone (631) 750-9088

Other identifiers 1

IdentifierTypeStateIssuer
2157920OtherPK

Other names 1

  • MDS Capital LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118001463 NY DME Supplier - Pharmacy 1456630250 Practice locations: Bohemia, NY

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
MDS Capital LLC140 Keyland CT, Bohemia, NY 11716-2655(631) 750-9088 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Urological Supplies|Enteral Nutrients|Nebulizer Equipment and… Accepts assignmentParticipating since Jul 15, 2016

National Provider Directory

National Provider Directory

Locations

140 Keyland Ct
Unit 27
Bohemia, NY 11716
Phone (631) 750-9088

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1003297854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 KEYLAND CT UNIT 27",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162655",
            "telephone_number": "631-750-9088",
            "fax_number": "631-250-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 KEYLAND CT UNIT 27",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162655",
            "telephone_number": "631-750-9088",
            "fax_number": "631-250-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "BUSCAINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-750-9088",
        "authorized_official_credential": "LICENSED PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "033789",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDS Capital LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MDS Capital LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.