Provider Demographics
NPI:1538242953
Name:PHARMACY SOLUTION SERVICES LLC
Entity type:Organization
Organization Name:PHARMACY SOLUTION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:BUSCAINO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:631-218-0777
Mailing Address - Street 1:140 KEYLAND COURT UNIT 28
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2655
Mailing Address - Country:US
Mailing Address - Phone:631-218-0777
Mailing Address - Fax:631-218-0861
Practice Address - Street 1:140 KEYLAND COURT UNIT 28
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2655
Practice Address - Country:US
Practice Address - Phone:631-218-0777
Practice Address - Fax:631-218-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0247693336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3320114OtherNCPDP
NY02089063Medicaid
NY024769OtherNY STATE BOARD OF PHARMAC
NY02089063Medicaid
3320114OtherNCPDP