1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Pharmacy
  6. NPI Profile

HEALTHSOURCE PHARMACY III INC
NPI 1023023637
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since July 30, 2006CLIA 33D2186737 · Waiver
235 E 57TH ST, NEW YORK, NY 10022(212) 310-0111(212) 310-0144 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthsource Pharmacy Iii Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE PHARMACY III INC (NPI 1023023637) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Boris Niyazov, President, as its authorized official.

NPPES Registry Identity

NPI1023023637
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEALTHSOURCE PHARMACY III INC
Location Address235 E 57TH STNew York, NY 10022-2842
Mailing Address235 E 57th StNew York, NY 10022-2842 · (212) 310-0111 · Fax (212) 310-0144
Phone(212) 310-0111
Fax(212) 310-0144
Organization SubpartNo
Authorized OfficialBoris NiyazovPresident · (212) 794-8700
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1023023637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X · License 027524 (NY)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
235 E 57TH ST, New York, NY 10022
Open in Google Maps ↗

Other Identifiers 3

Other3348679Other Id Number-commercial Number
Medicaid02748745NY
Medicare NSC5584540001NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2186737

Healthsource Pharmacy Inc · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2186737
Laboratory TypePharmacy
Certificate Effective DateJune 22, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMs. Linda Niyazov
Laboratory Phone(212) 794-8700
Laboratory LocationHealthsource Pharmacy Inc1296 Second Ave, New York, NY 10065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDIOLOGY SERVICES
Clinic/Center (Hearing and Speech)
235 E 57TH ST, SUITE 1A
NEW YORK, NY 10022
New York County (212) 644-1445
CHARLOTTE DIAMOND SHRON RD
Dietitian, Registered
235 E 57TH ST
NEW YORK, NY 10022
New York County (917) 882-7388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Pharmacy III Inc's NPI number?

The NPI number for Healthsource Pharmacy III Inc is 1023023637. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Healthsource Pharmacy III Inc located?

Healthsource Pharmacy III Inc is located at 235 E 57th St, New York, NY 10022. The listed phone number is (212) 310-0111.

What is Healthsource Pharmacy III Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Healthsource Pharmacy III Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2186737) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthsource Pharmacy III Inc was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.