Pine Plains Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

019013 Issued in NY

Legal business name

PINE PLAINS PHARMACY INC

Doing business as

Matragrano-Robinson Pharmacy

Practice address

2965 Church St
Pine Plains, NY 12567-0339

Phone

(518) 398-5588

Fax

(518) 398-7588

NPI assigned

Jul 5, 2006

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nasir Mahmood, RPHNPI 1063443513

Title

Pres

Phone

(518) 398-5588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MATRAGRANO-ROBINSON PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY4 enrollments

Enrollment records 4

Tax ID family

Matragrano-Robinson Pharmacy2 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.

• Pine Plains Pharmacy Inc

  dba Matragrano-Robinson Pharmacy

  • Long Term Care Pharmacy
  • Pine Plains, NY
  • NPI 1417738865
  NPD tax ID

Locations

Practitioners 3

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.

• Nasir Mahmood, RPH

  • Pharmacist
  • Pine Plains, NY
  • NPI 1063443513
  NPD Authorized official
• Rehan N Mahmood, PHARM D

  • Pharmacist
  • Pine Plains, NY
  • NPI 1225556376
  NPD (past)
• Salvatore J Puca, RPH

  • Pharmacist
  • Pine Plains, NY
  • NPI 1740529767
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1770514473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125670339",
            "telephone_number": "518-398-5588",
            "fax_number": "518-398-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 CHURCH ST",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125670339",
            "telephone_number": "518-398-5588",
            "fax_number": "518-398-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PLAINS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "518-398-5588",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "019013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00516225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRAGRANO-ROBINSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce S. Morse, FNP
• Suzanne O'Brien
• Sophia Osofsky
• Pine Plains Central School District
• Pine Plains Pharmacy Inc (Matragrano-Robinson Pharmacy)
• Salvatore J Puca, RPH
• Debra Ratchford, LMHC, ADVANCED CASAC
• Joseph E Rougier Jr., RN
• Kenneth Paul Rude, PT
• Michael Schlissel, D.D.S.

• Pharmacist in Pine Plains, NY
• Providers in Pine Plains, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.