ONE SOURCE PHARMACY SERVICES INC.
NPI 1750482980
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since September 26, 2006
4480 BROADWAY, NEW YORK, NY 10040(212) 567-3384(212) 567-9643 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Oct 2, 2015 (2 updates tracked since 2015).

About One Source Pharmacy Services Inc. NPPES

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

ONE SOURCE PHARMACY SERVICES INC. (NPI 1750482980), doing business as Fairview Pharmacy, is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since September 2006. The organization lists Prital Sudhir Shukla, President, as its authorized official.

NPPES Registry Identity

NPI1750482980
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameONE SOURCE PHARMACY SERVICES INC.
Location Address4480 BROADWAYNew York, NY 10040-2606
Mailing Address4480 BroadwayNew York, NY 10040-2606 · (212) 567-3384 · Fax (212) 567-9643
Fax(212) 567-9643
Organization SubpartNo
Authorized OfficialPrital Sudhir ShuklaPresident · (212) 567-3384
Enumeration DateSeptember 26, 2006
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1750482980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 024844
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 024844 (NY)
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License 024844 (NY)
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 024844 (NY)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 024844 (NY)
4480 BROADWAY, New York, NY 10040

Other Names 1

Doing Business AsFairview Pharmacy

Other Identifiers 1

Medicaid02105493NY

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories One Source Pharmacy Services Inc. carries, from the Medicare DMEPOS supplier directory.

One Source Pharmacy Services Inc.

DMEPOS supplier · New York, NY

Accepts Medicare assignment

One Source Pharmacy Services Inc. 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)20626487
Medicare Participant SinceJanuary 1, 2001
Supplier Location4480 BroadwayNew York, NY 10040
Supplier Specialties
Certified Other MSC With Orthotic-Prosthetic 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

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

Pharmacist
4480 BROADWAY
NEW YORK, NY 10040

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 One Source Pharmacy Services Inc.'s NPI number?

The NPI number for One Source Pharmacy Services Inc. is 1750482980. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Fairview Pharmacy.

Where is One Source Pharmacy Services Inc. located?

One Source Pharmacy Services Inc. is located at 4480 Broadway, New York, NY 10040. The listed phone number is (212) 567-3384.

What is One Source Pharmacy Services Inc.'s specialty?

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

Does One Source Pharmacy Services Inc. accept Medicare assignment for medical equipment?

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

What insurance does One Source Pharmacy Services 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 49 other insurers list One Source Pharmacy Services 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 One Source Pharmacy Services Inc. was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.