Organization Active NPI

Riverside Remedies RX Corp.

  • Community/Retail Pharmacy
  • Callicoon, NY
National Provider Identifier
1407258346
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033078 Issued in NY
Legal business name
RIVERSIDE REMEDIES RX CORP.
Practice address
39 Lower Main St
Callicoon, NY 12723-5000
Phone
(845) 887-3030
Fax
(845) 887-3179
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gene W Burns, DPHNPI 1326388182
Title
President
Phone
(845) 887-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033078 NY Primary

Addresses

Primary practice location

39 Lower Main St
Callicoon, NY 12723-5000

Mailing address

39 Lower Main St
P.O. Box 275
Callicoon, NY 12723-5000
Phone (845) 887-3030

Other identifiers 2

IdentifierTypeStateIssuer
04122661MedicaidNY
033078OtherNYNYS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150202000073 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4789908377 Practice locations: Callicoon, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1407258346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LOWER MAIN ST",
            "address_2": "P.O. BOX 275",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235000",
            "telephone_number": "845-887-3030",
            "fax_number": "845-887-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LOWER MAIN ST",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235000",
            "telephone_number": "845-887-3030",
            "fax_number": "845-887-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE REMEDIES RX CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-887-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04122661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS",
            "identifier": "033078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Callicoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.