Organization Active NPI

Hudson View Pharmacy, Inc

  • Community/Retail Pharmacy
  • Newburgh, NY
National Provider Identifier
1720043052
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031057 Issued in NY
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

Updated by the provider on Jan 17, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2133860OtherPK

Other names 1

  • HUDSON VIEW PHARMACY, INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.