OrganizationActive
Pine Bush Pharmacy Inc
NPI 1710913447 · Community/Retail Pharmacy · Pine Bush, NY
Pine Bush Pharmacy Inc is a Community/Retail Pharmacy organization in Pine Bush, NY (NPI 1710913447).
Provider details
- NPI number
- 1710913447
- 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
Suppliers
Profile Score
Detailed profile(91/100 index)
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
2412 Rt 52 Valley Supreme Plaza
Pine Bush, NY 12566
Phone: (845) 744-4221
Fax: (845) 744-2046
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1347
Pine Bush, NY 12566-1347
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2025-09-11
Frequently asked questions
- What is Pine Bush Pharmacy Inc's NPI number?
- Pine Bush Pharmacy Inc's National Provider Identifier (NPI) is 1710913447, 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 Rt 52 Valley Supreme Plaza, Pine Bush, NY 12566.
- 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.
- 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 (1710913447) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.