Water Street Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WATER STREET PHARMACY INC.

Doing business as

Village Drug

Practice address

126 Main St
Penn Yan, NY 14527-1247

Phone

(153) 536-0100

Fax

(315) 536-0109

NPI assigned

Mar 19, 2025

Organization subpart

No

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

Authorized official

Name

Tracey L Knapp, RPH

Title

President

Phone

(315) 536-0100

Specialties & licenses 1

Addresses

Other names 1

• Village Drug Doing business as

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1972303790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271247",
            "telephone_number": "153-536-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271247",
            "telephone_number": "153-536-0100",
            "fax_number": "315-536-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STREET PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-536-0100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Lisa Lynn Walk-Reinard, M.D.
• Karen Long Walker
• Stacey Ann Walker, M.D.
• Alissa Blake Walruth, LMHC-D
• Water Street Pharmacy, Inc.
• Barbara J Weld, BACHELORS DEGREE
• Kathryn Ann Wiley, OT
• Susan B. Williams, MS
• Yates County Chapter Nysarc, Inc

• Long Term Care Pharmacy in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.