Organization Active NPI

Hudson Pharmacy & Surgical Supplies Inc

Doing business as Hudson Pharmacy & Surgical Retail

  • Community/Retail Pharmacy
  • Ossining, NY
National Provider Identifier
1508802455
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015349 Issued in NY
Legal business name
HUDSON PHARMACY & SURGICAL SUPPLIES INC
Doing business as
Hudson Pharmacy & Surgical Retail
Practice address
40 Spring St
Ossining, NY 10562-4716
Phone
(914) 941-4476
Fax
(914) 941-2122
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Mr. John W. Frustace III
Title
Owner
Phone
(914) 487-4049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 015349 NY
Community/Retail Pharmacy 3336C0003X 015349 NY Primary

Addresses

Primary practice location

40 Spring St
Ossining, NY 10562-4716

Mailing address

40 Spring St
Ossining, NY 10562-4716
Phone (914) 941-4476

Other identifiers 2

IdentifierTypeStateIssuer
3350915OtherNYNABP
00513671MedicaidNY

Other names 1

  • Hudson Pharmacy & Surgical Retail Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930090785 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 9638299431 Practice locations: Ossining, NY
O20110406000187 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9638299431 Practice locations: Ossining, NY
O20201208001516 NY Part B Supplier - Pharmacy 9638299431 Practice locations: Ossining, NY

National Provider Directory

National Provider Directory
Tax ID family
Hudson Pharmacy Surgical LTC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1508802455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRING ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624716",
            "telephone_number": "914-941-4476",
            "fax_number": "914-941-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRING ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624716",
            "telephone_number": "914-941-4476",
            "fax_number": "914-941-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PHARMACY & SURGICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "FRUSTACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-487-4049",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "015349",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "015349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3350915",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00513671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Pharmacy & Surgical Retail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.