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HEALTHSOURCE PHARMACY
NPI 1346383403
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since February 15, 2007CLIA 33D2212702 · Waiver
120 E 34TH ST, NEW YORK, NY 10016(212) 481-6600(212) 481-6606 Get Directions Write a Review

NPPES record last updated: February 16, 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 1346383403) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Boris Niyazov, President, as its authorized official.

NPPES Registry Identity

NPI1346383403
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEALTHSOURCE PHARMACY II INC
Location Address120 E 34TH STNew York, NY 10016-4609
Mailing Address120 E 34th StNew York, NY 10016-4609 · (212) 481-6600 · Fax (212) 481-6606
Phone(212) 481-6600
Fax(212) 481-6606
Organization SubpartNo
Authorized OfficialBoris NiyazovPresident · (212) 481-6600
Enumeration DateFebruary 15, 2007
Last NPPES UpdateFebruary 16, 2017
✔ NPI 1346383403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 025501
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
120 E 34TH ST, New York, NY 10016
Open in Google Maps ↗

Other Names 1

Doing Business AsHealthsource Pharmacy

Other Identifiers 2

Medicaid02352789NY
Other2064625Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

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 33D2212702

Healthsource Pharmacy II Inc · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2212702
Laboratory TypePharmacy
Certificate Effective DateFebruary 5, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMs. Linda Niyazov
Laboratory Phone(212) 481-6600
Laboratory LocationHealthsource Pharmacy II Inc120 East 34th St, New York, NY 10016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
53 services53 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 22

Medicare supplier enrollment and the product categories Healthsource Pharmacy carries, from the Medicare DMEPOS supplier directory.

Healthsource Pharmacy

DMEPOS supplier · New York, NYOperated by Healthsource Pharmacy II Inc
✔

Accepts Medicare assignment

Healthsource Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20535839
Medicare Participant SinceOctober 10, 2010
Supplier Location120 E 34th StNew York, NY 10016
Phone(212) 481-6600
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 17

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

JAI OCK CHU MD
Anesthesiology
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 545-0002
YELIZAVETA DAVYDOVA PHARMD
Pharmacist
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 481-6600
DR. JENNIFER SUNG PHARM.D
Pharmacist (Geriatric)
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 481-6606
MURRAY HILL UROLOGY, PC
Urology
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 686-1140
MR. ROBERT WILLIAM GLUCK MD
Urology
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 686-1140
ROSILYN KAZANJIAN MD
Anesthesiology
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 686-1140
DR. WILLIAM SCHOLLER PH.D.
Psychologist (Clinical)
120 E 34TH ST, 11-G
NEW YORK, NY 10016
New York County (212) 685-3877
MR. ROGER SETH WARNER MD
Urology
120 E 34TH ST
NEW YORK, NY 10016
New York County (212) 686-1140

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 II Inc's NPI number?

The NPI number for Healthsource Pharmacy II Inc is 1346383403. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Healthsource Pharmacy.

Where is Healthsource Pharmacy II Inc located?

Healthsource Pharmacy II Inc is located at 120 E 34th St, New York, NY 10016. The listed phone number is (212) 481-6600.

What is Healthsource Pharmacy II Inc's specialty?

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

Does Healthsource Pharmacy II Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Healthsource Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Healthsource Pharmacy II Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2212702) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthsource Pharmacy II Inc accept?

Health plans from AvMed, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia, Humana and Medica and 2 other insurers list Healthsource Pharmacy II Inc 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 Healthsource Pharmacy II Inc was last updated on February 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.