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HEALTHSOURCE PHARMACY INC
NPI 1679318125
Pharmacy - Long Term Care Pharmacy in New York, NY

Active since June 26, 2024
1296 2ND AVE, NEW YORK, NY 10065(212) 794-8700 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Healthsource Pharmacy Inc NPPES

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

HEALTHSOURCE PHARMACY INC (NPI 1679318125), doing business as Healthsource Pharmacy, is a healthcare organization registered as a long term care pharmacy in New York, New York and active in the NPI registry since June 2024. The organization lists Boris Niyazov, President, as its authorized official.

NPPES Registry Identity

NPI1679318125
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameHEALTHSOURCE PHARMACY INC
Location Address1296 2ND AVENew York, NY 10065-5707
Mailing Address1296 2nd AveNew York, NY 10065-5707
Phone(212) 794-8700
Organization SubpartYes
Authorized OfficialBoris NiyazovPresident · (212) 794-8700
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1679318125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1296 2ND AVE, New York, NY 10065
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Other Names 1

Doing Business AsHealthsource Pharmacy

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 3

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

STEVEN WU
Pharmacist
1296 2ND AVE
NEW YORK, NY 10065
New York County (212) 794-8700
HEALTHSOURCE PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1296 2ND AVE
NEW YORK, NY 10065
New York County (212) 794-8700
KHADIJA MISBAH PHARMD, RPH
Pharmacist
1296 2ND AVE
NEW YORK, NY 10065
New York County (212) 794-8700

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 Inc's NPI number?

The NPI number for Healthsource Pharmacy Inc is 1679318125. It was assigned to this organization in the NPPES registry on June 26, 2024. The provider is doing business as Healthsource Pharmacy.

Where is Healthsource Pharmacy Inc located?

Healthsource Pharmacy Inc is located at 1296 2nd Ave, New York, NY 10065. The listed phone number is (212) 794-8700.

What is Healthsource Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Healthsource Pharmacy Inc 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 31 other insurers list Healthsource Pharmacy 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 Inc was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.