Washingtonville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028235 Issued in NY

Legal business name

WASHINGTONVILLE PHARMACY INC

Practice address

32 W Main St Unit 2
Washingtonville, NY 10992-1411

Phone

(845) 496-8001

Fax

(845) 496-8005

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mark Patrick FreitasNPI 1558490235

Title

RPH

Phone

(845) 496-8001

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• WASHINGTONVILLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Washingtonville Pharmacy Inc2 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.

• Washingtonville Pharmacy Inc

  • Long Term Care Pharmacy
  • Washingtonville, NY
  • NPI 1629794532
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Washingtonville Pharmacy Inc

  • Long Term Care Pharmacy
  • Washingtonville, NY
  • NPI 1629794532
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Patrick Freitas, R.PH.

  • Pharmacist
  • Washingtonville, NY
  • NPI 1558490235
  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1730213448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST UNIT 2",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921411",
            "telephone_number": "845-496-8001",
            "fax_number": "845-496-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST UNIT 2",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921411",
            "telephone_number": "845-496-8001",
            "fax_number": "845-496-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTONVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "FREITAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "845-496-8001"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028235",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069038",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02891303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTONVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WASHINGTONVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Vega-Ruscher, R.D., CDN
• Nicole D'Emic Virgil, MD
• Washingtonville Dental Group
• Washingtonville Pediatrics, P.C.
• Washingtonville Pharmacy Inc
• Well Rooted Massage Therapy PLLC
• Jaime White
• Corinne L Wilson
• Patricia Catherine Wilson

• Community/Retail Pharmacy in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.