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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pine Bush Pharmacy Inc

Community/Retail Pharmacy in Pine Bush, NY · enumerated 2006 · authorized official Riaz Wattoo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083779730

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Bush Pharmacy Inc
Other name <Unavail>
Practice address 2412 State Route 52 Ste 5, Pine Bush, NY, 12566
Fax (845) 744-2046
Enumeration date Dec 23, 2006
Last updated in NPPES Jan 21, 2026

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 025835 (NY) Primary

Authorized official

Name Riaz Wattoo
Title Owner

Other identifiers

Identifier Type State Issuer
02385422 Medicaid NY -
2059454 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pine Bush Pharmacy Inc?
Pine Bush Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-21.