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PINE BUSH PHARMACY INC
NPI 1083779730
Pharmacy - Community/Retail Pharmacy in Pine Bush, NY

Active since December 23, 2006
2412 STATE ROUTE 52 STE 5, PINE BUSH, NY 12566(845) 744-4221(845) 744-2046 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Nov 22, 2016 (2 updates tracked since 2016).

About Pine Bush Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE BUSH PHARMACY INC (NPI 1083779730) is a healthcare organization registered as a community/retail pharmacy in Pine Bush, New York and active in the NPI registry since December 2006. The organization lists Riaz Wattoo, Owner, as its authorized official.

NPPES Registry Identity

NPI1083779730
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePINE BUSH PHARMACY INC
Location Address2412 STATE ROUTE 52 STE 5Pine Bush, NY 12566-7037
Mailing AddressPo Box 1347Pine Bush, NY 12566-1347 · (845) 744-4221 · Fax (845) 744-2046
Phone(845) 744-4221
Fax(845) 744-2046
Organization SubpartNo
Authorized OfficialRiaz WattooOwner · (845) 744-4221
Enumeration DateDecember 23, 2006
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1083779730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 025835
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
2412 STATE ROUTE 52 STE 5, Pine Bush, NY 12566
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Other Names 1

Doing Business AsPine Bush Pharmacy Inc

Other Identifiers 2

Medicaid02385422NY
Other2059454Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Bush Pharmacy Inc's NPI number?

The NPI number for Pine Bush Pharmacy Inc is 1083779730. It was assigned to this organization in the NPPES registry on December 23, 2006.

Where is Pine Bush Pharmacy Inc located?

Pine Bush Pharmacy Inc is located at 2412 State Route 52 Ste 5, Pine Bush, NY 12566. The listed phone number is (845) 744-4221.

What is Pine Bush Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Pine Bush Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Pine Bush Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pine Bush Pharmacy Inc was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.