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MEDISOURCE PHARMACY LLC
NPI 1215197991
Pharmacy - Specialty Pharmacy in Plainview, NY

Active since June 16, 2008
720 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 605-0080(516) 605-0077 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 27, 2026, Jun 27, 2025, Sep 24, 2024 and 1 more (4 updates tracked since 2021).

About Medisource Pharmacy Llc NPPES

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

MEDISOURCE PHARMACY LLC (NPI 1215197991), doing business as Medisource Pharmacy, is a healthcare organization registered as a specialty pharmacy in Plainview, New York and active in the NPI registry since June 2008. The organization lists Roza Davidov, Owner, as its authorized official.

NPPES Registry Identity

NPI1215197991
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameMEDISOURCE PHARMACY LLC
Location Address720 OLD COUNTRY RDPlainview, NY 11803-4929
Mailing Address720 Old Country RdPlainview, NY 11803-4929 · (516) 605-0080 · Fax (516) 605-0077
Phone(516) 605-0080
Fax(516) 605-0077
Organization SubpartNo
Authorized OfficialRoza DavidovOwner · (516) 615-2974
Enumeration DateJune 16, 2008
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1215197991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License✔ Licensed in NY · 028939
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
720 OLD COUNTRY RD, Plainview, NY 11803
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Other Names 1

Doing Business AsMedisource Pharmacy

Other Identifiers 2

Medicaid3016644NY
Other2070643Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

MS. ELINA ROZENFELD RPH
Pharmacist
720 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 605-0080

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 Medisource Pharmacy LLC's NPI number?

The NPI number for Medisource Pharmacy LLC is 1215197991. It was assigned to this organization in the NPPES registry on June 16, 2008. The provider is doing business as Medisource Pharmacy.

Where is Medisource Pharmacy LLC located?

Medisource Pharmacy LLC is located at 720 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 605-0080.

What is Medisource Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

What insurance does Medisource Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Medisource Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medisource Pharmacy LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.