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HEALTHSOURCE PHARMACY
NPI 1770695876
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since August 31, 2006
1296 2ND AVE, NEW YORK, NY 10065(212) 794-8700(212) 794-4979 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthsource Pharmacy NPPES

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

HEALTHSOURCE PHARMACY (NPI 1770695876) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since August 2006. The organization lists Boris Niyazov, President, as its authorized official.

NPPES Registry Identity

NPI1770695876
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEALTHSOURCE PHARMACY INC
Location Address1296 2ND AVENew York, NY 10065-5707
Mailing Address1302 2nd AveNew York, NY 10065-5706 · (212) 794-8700 · Fax (212) 794-4979
Phone(212) 794-8700
Fax(212) 794-4979
Organization SubpartNo
Authorized OfficialBoris NiyazovPresident · (212) 794-8700
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1770695876 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 · 025135
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
1296 2ND AVE, New York, NY 10065
Open in Google Maps ↗

Other Names 1

Doing Business AsHealthsource Pharmacy

Other Identifiers 2

Other2063440Pk
Medicaid02182694NY

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 ›

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.
302 services300 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.
159 services159 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.
130 services130 patients

Medical Equipment Supplier Medicare DMEPOS 24

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

Healthsource Pharmacy Inc

DMEPOS supplier · New York, NY
⋮

Does not accept Medicare assignment

Healthsource Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20605757
Medicare Participant SinceApril 16, 2002
Supplier Location1296 2nd AveNew York, NY 10065
Phone(212) 794-8700
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 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 (Long Term Care 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 1770695876. It was assigned to this organization in the NPPES registry on August 31, 2006. 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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Healthsource Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Healthsource Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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 47 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 April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.