Active NPI
Riverside Remedies RX Corp.
- Community/Retail Pharmacy
- Callicoon, NY
National Provider Identifier
1407258346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 033078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gene W Burns, DPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04122661 | Medicaid | NY | |
| 033078 | Other | NY | NYS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150202000073 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789908377 | Practice locations: Callicoon, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Callicoon, NY
- NPI 1326388182
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.