Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Bush Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1083779730

Pine Bush Pharmacy Inc is a Community/Retail Pharmacy in Pine Bush, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2412 State Route 52 Ste 5
Pine Bush, NY 12566-7037
Phone: (845) 744-4221
Fax: (845) 744-2046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 025835 (NY)

Record details

NPI number1083779730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riaz Wattoo — Owner · (845) 744-4221
Other names Pine Bush Pharmacy Inc
NPI enumeratedDecember 23, 2006
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing addressPo Box 1347, Pine Bush, NY 12566-1347