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

Pine Bush Pharmacy Inc

Organization Pharmacy · NPI 1710913447

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

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2412 Rt 52 Valley Supreme Plz
Pine Bush, NY 12566
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
Pharmacy Taxonomy 333600000X · Licence 025835 (NY)

Record details

NPI number1710913447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riaz Wattoo — Owner · (845) 744-4221
NPI enumeratedJune 24, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1347, Pine Bush, NY 12566-1347