Organization Active NPI

Hudson Pharmacy & Surgical Supplies Inc.

Doing business as Hudson Pharmacy & Surgical LTC

  • Long Term Care Pharmacy
  • Ossining, NY
National Provider Identifier
1700231073
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
015349 Issued in NY
Legal business name
HUDSON PHARMACY & SURGICAL SUPPLIES INC.
Doing business as
Hudson Pharmacy & Surgical LTC
Practice address
40 Spring St
Ossining, NY 10562-4716
Phone
(914) 941-4476
Fax
(914) 236-3716
NPI assigned
Apr 25, 2016
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 Walter Frustace III
Title
Owner
Phone
(914) 487-4049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 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
00513671MedicaidNY
2159667OtherPK

Other names 1

  • Hudson Pharmacy & Surgical LTC Doing business as

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.

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1700231073",
    "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": "914-236-3716"
        },
        {
            "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": "914-236-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PHARMACY & SURGICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "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": "WALTER",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "015349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00513671",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Pharmacy & Surgical LTC",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.