Individual provider Active NPI

Anthony Frank Buscaino, R.PH.

  • Nutrition Support Pharmacist
  • Bohemia, NY
National Provider Identifier
1265723555
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
35749 Issued in NY
Practice address
140 Keyland CT Unit 27
Bohemia, NY 11716-2655
Phone
(631) 750-9088
Fax
(631) 750-9087
NPI assigned
Apr 21, 2011
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 35749 NY Primary

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

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
35749NYMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MDS Capital LLC Current Accepting new patients

Locations

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

Organizations & group practices 1

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1265723555",
    "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": "631-750-9087"
        },
        {
            "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": "631-750-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCAINO",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NY",
            "license": "35749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.