Active NPI
Hudson View Pharmacy, Inc
- Community/Retail Pharmacy
- Newburgh, NY
National Provider Identifier
1720043052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031057
- Legal business name
- HUDSON VIEW PHARMACY, INC
- Practice address
- 147 Lake St Ste 101
Newburgh, NY 12550-5264 - Phone
- (845) 561-4370
- Fax
- (845) 561-4263
- NPI assigned
- Apr 19, 2006
- 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
- Neeraj Gupta
- Title
- SP
- Phone
- (845) 561-4370
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 031057 | NY | Primary |
Addresses
Primary practice location
147 Lake St Ste 101
Newburgh, NY 12550-5264
Mailing address
PO Box 2545
Newburgh, NY 12550-0785
Phone (845) 561-4370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133860 | Other | PK |
Other names 1
- HUDSON VIEW PHARMACY, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120904000117 | NY | DME Supplier - Pharmacy | 3274780887 | Practice locations: Newburgh, NY |
| O20210108001879 | NY | Part B Supplier - Pharmacy | 3274780887 | Practice locations: Newburgh, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Hudson View Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Newburgh, NY
- NPI 1467213355
-
- Community/Retail Pharmacy
- Newburgh, NY
- NPI 1093099038
Locations
147 Lake St
Ste 101
Newburgh, NY 12550
Phone (845) 561-4370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484611200000",
"number": "1720043052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2545",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125500785",
"telephone_number": "845-561-4370",
"fax_number": "845-561-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 LAKE ST STE 101",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505264",
"telephone_number": "845-561-4370",
"fax_number": "845-561-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON VIEW PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2017-01-17",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "NEERAJ",
"authorized_official_title_or_position": "SP",
"authorized_official_telephone_number": "845-561-4370"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "031057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2133860",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HUDSON VIEW PHARMACY, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.