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LIFESOURCE PHARMACY
NPI 1366714974
Pharmacy - Community/Retail Pharmacy in Elmhurst, NY

Active since January 30, 2012
8514 QUEENS BLVD, ELMHURST, NY 11373(718) 803-8393 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifesource Pharmacy NPPES

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

LIFESOURCE PHARMACY (NPI 1366714974) is a healthcare organization registered as a community/retail pharmacy in Elmhurst, New York and active in the NPI registry since January 2012. The organization lists Crystal Wong, President, as its authorized official.

NPPES Registry Identity

NPI1366714974
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFESOURCE PLUS INC
Location Address8514 QUEENS BLVDElmhurst, NY 11373-4249
Mailing Address8514 Queens BlvdElmhurst, NY 11373-4249 · (718) 803-8393
Phone(718) 803-8393
Organization SubpartNo
Authorized OfficialCrystal WongPresident · (718) 803-8393
Enumeration DateJanuary 30, 2012
Last NPPES UpdateMay 4, 2012
✔ NPI 1366714974 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 · 031093
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
8514 QUEENS BLVD, Elmhurst, NY 11373
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Other Names 1

Doing Business AsLifesource Pharmacy

Other Identifiers 2

Other5804314Ncpdp Provider Identification Number
Medicare NSC6669440001

Other Providers at the Same Location NPPES

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

DR. CRYSTAL WONG PHARMD
Pharmacist
8514 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 803-8393

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 Lifesource Plus Inc's NPI number?

The NPI number for Lifesource Plus Inc is 1366714974. It was assigned to this organization in the NPPES registry on January 30, 2012. The provider is doing business as Lifesource Pharmacy.

Where is Lifesource Plus Inc located?

Lifesource Plus Inc is located at 8514 Queens Blvd, Elmhurst, NY 11373. The listed phone number is (718) 803-8393.

What is Lifesource Plus Inc'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 Lifesource Plus Inc was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.