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PINE BUSH PHARMACY INC
NPI 1710913447
Pharmacy - Community/Retail Pharmacy in Pine Bush, NY

Active since June 24, 2006
2412 RT 52 VALLEY SUPREME PLAZA, PINE BUSH, NY 12566(845) 744-4221(845) 744-2046 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pine Bush Pharmacy Inc NPPES

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

PINE BUSH PHARMACY INC (NPI 1710913447) is a healthcare organization registered as a community/retail pharmacy in Pine Bush, New York and active in the NPI registry since June 2006. The organization lists Riaz Wattoo, Owner, as its authorized official.

NPPES Registry Identity

NPI1710913447
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePINE BUSH PHARMACY INC
Location Address2412 RT 52 VALLEY SUPREME PLAZAPine Bush, NY 12566
Mailing AddressPo Box 1347Pine Bush, NY 12566-1347
Phone(845) 744-4221
Fax(845) 744-2046
Organization SubpartNo
Authorized OfficialRiaz WattooOwner · (845) 744-4221
Enumeration DateJune 24, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1710913447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedPharmacyTaxonomy 333600000X · License 025835 (NY)

Other Identifiers 2

Medicaid02385422NY
Other3331422Other Id Number-commercial Number

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Pine Bush Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Pine Bush Pharmacy Inc

DMEPOS supplier · Pine Bush, NY
⋮

Does not accept Medicare assignment

Pine Bush Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21610737
Medicare Participant SinceMay 7, 2003
Supplier Location2412 State Route 52 Ste 5Pine Bush, NY 12566
Phone(845) 744-4221
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1710913447. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Pine Bush Pharmacy Inc located?

Pine Bush Pharmacy Inc is located at 2412 Rt 52 Valley Supreme Plaza, 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.

Does Pine Bush Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Pine Bush Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Pine Bush Pharmacy Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.