Dustin S Buckingham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

065513 Issued in NY

Practice address

25737 US Route 11
Evans Mills, NY 13637-3221

Phone

(315) 629-2402

NPI assigned

Aug 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #34

  • Community/Retail Pharmacy
  • Gouverneur, NY
  • NPI 1861509580
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1275189854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25737 US ROUTE 11",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373221",
            "telephone_number": "315-629-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25737 US ROUTE 11",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373221",
            "telephone_number": "315-629-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "DUSTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi L Petranchuk LCSW PLLC
• David Stetson Bombard, R.PH.
• Sarah Boston, PT, DPT
• Shelby M Brand
• Anthony Robert Britton, DO
• John James Burnett, DO
• Joshua Butler
• Sarah Byers
• Abdul Rehman Chaudhry, MD
• Alexa Lee Clemons, LMT

• Pharmacist in Evans Mills, NY
• Providers in Evans Mills, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.