HEALTHSOURCE PHARMACY
NPI 1053841312
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since June 19, 2017
750 COLUMBUS AVE, NEW YORK, NY 10025(212) 932-0200(212) 932-0202 Get Directions Write a Review

NPPES record last updated: June 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Healthsource Pharmacy NPPES

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

HEALTHSOURCE PHARMACY (NPI 1053841312) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since June 2017. The organization lists Boris Niyazov, Member, as its authorized official.

NPPES Registry Identity

NPI1053841312
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEALTHSOURCE PHARMACY IV, LLC
Location Address750 COLUMBUS AVENew York, NY 10025-6464
Mailing Address750 Columbus AvenueNew York, NY 10025 · (212) 932-0200 · Fax (212) 932-0202
Fax(212) 932-0202
Organization SubpartNo
Authorized OfficialBoris NiyazovMember · (917) 482-1154
Enumeration DateJune 19, 2017
NPI 1053841312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 035496
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
750 COLUMBUS AVE, New York, NY 10025

Other Names 1

Doing Business AsHealthsource Pharmacy

Other Identifiers 1

Other2169943Pk

Other Providers at the Same Location NPPES 10

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

Optometrist
750 COLUMBUS AVE
NEW YORK, NY 10025
Social Worker (Clinical)
750 COLUMBUS AVE
NEW YORK, NY 10025
Marriage & Family Therapist
750 COLUMBUS AVE, SUITE 9S
NEW YORK, NY 10025
Physical Therapist
750 COLUMBUS AVE, APT 5W
NEW YORK, NY 10025
Community/Behavioral Health
750 COLUMBUS AVE, SUITE 9S
NEW YORK, NY 10025
Licensed Practical Nurse
750 COLUMBUS AVE
NEW YORK, NY 10025
Social Worker
750 COLUMBUS AVE, APT. PHR
NEW YORK, NY 10025
Social Worker
750 COLUMBUS AVE, APARTMENT 6J
NEW YORK, NY 10025

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 IV, LLC's NPI number?

The NPI number for Healthsource Pharmacy IV, LLC is 1053841312. It was assigned to this organization in the NPPES registry on June 19, 2017. The provider is doing business as Healthsource Pharmacy.

Where is Healthsource Pharmacy IV, LLC located?

Healthsource Pharmacy IV, LLC is located at 750 Columbus Ave, New York, NY 10025. The listed phone number is (212) 932-0200.

What is Healthsource Pharmacy IV, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Healthsource Pharmacy IV, LLC was last updated on June 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.