Water Street Pharmacy, Inc.
Community/Retail Pharmacy
126 Main St, Penn Yan
New York, 14527-1219
315-536-0100 315-536-0109
Water Street Pharmacy, Inc. is an authorized DME supplier for medicare equipments and products.
Water Street Pharmacy, Inc. is a Community/Retail Pharmacy in Penn Yan, New York. This organization is also known as sub part of Water Street Pharmacy, Inc.. It is located at 126 Main St, Penn Yan and it's customer support contact number is 315-536-0100. The authorized person of Water Street Pharmacy, Inc. is Tracey Knapp, RPH who is President of the pharmacy and his contact number is 315-536-0100. Active license number of Water Street Pharmacy, Inc. is 032684 for Community/Retail Pharmacy in New York. Water Street Pharmacy, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Water Street Pharmacy, Inc. is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Water Street Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Water Street Pharmacy, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 126 Main St, Penn Yan, New York, 14527-1219 |
| Phone: | 315-536-0100 |
| Fax: | 315-536-0109 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tracey Knapp |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 315-536-0100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1255758330 |
| Parent Organization: | Water Street Pharmacy, Inc. |
| NPI Enumeration Date: | 26 Mar, 2014 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Water Street Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 032684 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 04239112 | Medicaid | New York | |
Medicare Enrollment:
Water Street Pharmacy, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2365751823 | O20151022002885 | Water Street Pharmacy Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 126 Main St, Penn Yan, New York |
| Zip: | 14527-1219 |
| Phone Number: | 315-536-0100 |
| Fax Number: | 315-536-0109 |
Patients can reach Water Street Pharmacy, Inc. at
126 Main St, Penn Yan, New York or can
call on customer care at 315-536-0100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.