Pine Bush Pharmacy Inc
NPI 1083779730 · Community/Retail Pharmacy · Pine Bush, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Bush Pharmacy Inc is a Community/Retail Pharmacy organization in Pine Bush, NY (NPI 1083779730).
Provider details
- NPI number
- 1083779730
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Riaz Wattoo, Owner(845) 744-4221
- License
- 025835 (NY)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pine Bush Pharmacy Inc
Registry dates
- Enumerated
- 2006-12-23
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Pine Bush Pharmacy Inc's NPI number?
- Pine Bush Pharmacy Inc's National Provider Identifier (NPI) is 1083779730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Bush Pharmacy Inc?
- Pine Bush Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pine Bush Pharmacy Inc located?
- Pine Bush Pharmacy Inc's practice location on file with NPPES is 2412 State Route 52 Ste 5, Pine Bush, NY 12566-7037.
- What is Pine Bush Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Pine Bush Pharmacy Inc is (845) 744-4221.
- Does Pine Bush Pharmacy Inc accept Medicare?
- Pine Bush Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pine Bush Pharmacy Inc?
- The authorized official listed on Pine Bush Pharmacy Inc's NPPES record is Riaz Wattoo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Bush Pharmacy Inc's NPI active?
- Yes — Pine Bush Pharmacy Inc's NPI (1083779730) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.