Individual provider Active NPI

Scott Buda I

  • Pharmacist
  • Freeport, NY
National Provider Identifier
1255656567
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040035 Issued in NY
Practice address
179 Atlantic Ave
Freeport, NY 11520-4922
Phone
(516) 377-4050
Fax
(516) 378-1809
NPI assigned
Mar 30, 2010
Last updated
Mar 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040035 NY Primary

Addresses

Primary practice location

179 Atlantic Ave
Freeport, NY 11520-4922

Mailing address

150 Concord Ave
Oceanside, NY 11572-5419
Phone (516) 377-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
040035NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
179Atlantic Inc Pharmacist Current Accepting new patients
JT Medical Services, Inc. Past Accepting new patients

Locations

179 Atlantic Ave
Freeport, NY 11520
Phone (516) 377-4050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1255656567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CONCORD AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725419",
            "telephone_number": "516-377-4050",
            "fax_number": "516-378-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204922",
            "telephone_number": "516-377-4050",
            "fax_number": "516-378-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDA",
        "first_name": "SCOTT",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.