Organization · Type 2 NPI

Hudson Headwaters Health Network

Community/Retail Pharmacy · Gansevoort, NY

NPI number 1245917871 Active

Practice location

1305 Route 9
Gansevoort, NY 12831

Call (888) 291-9195 Map

Fax (518) 478-6264

Mailing address

320 S Polk St Ste 200
Amarillo, TX 79101-1436

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1245917871
Entity type: Organization (Type 2)
Issued: Jul 5, 2023
Last updated: Mar 27, 2025
Status: Active

Other names

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Hudson Headwaters Pharmacy · doing business as
Hudson Headwaters Pharmacy · doing business as

Authorized official

Joel Wright
President Pharmacy Services
(806) 242-7782

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245917871

Hudson Headwaters Health Network's National Provider Identifier is 1245917871, issued on Jul 5, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Gansevoort, NY. The record was last updated on Mar 27, 2025.