HEALTHSOURCE PHARMACY
NPI 1962792176
Pharmacy - Community/Retail Pharmacy in New York, NY

Q: What is Healthsource Pharmacy III B Inc's NPI number?

The NPI number for Healthsource Pharmacy III B Inc is 1962792176. It was assigned to this organization in the NPPES registry on April 10, 2011. The provider is doing business as Healthsource Pharmacy.

Q: What is Healthsource Pharmacy III B Inc's specialty?

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

Active since April 10, 2011

1000 1ST AVE, AT 55TH STREET, NEW YORK, NY 10022(212) 310-0111(212) 310-0144 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Healthsource Pharmacy NPPES

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

HEALTHSOURCE PHARMACY (NPI 1962792176) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since April 2011. The organization lists Boris Niyazov, President, as its authorized official.

NPPES Registry Identity

NPI1962792176

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHEALTHSOURCE PHARMACY III B INC

Location Address1000 1ST AVE, AT 55TH STREETNew York, NY 10022-4105

Mailing Address1000 1st Ave, At 55th StreetNew York, NY 10022-4105 · (212) 310-0111

Phone(212) 310-0111

Fax(212) 310-0144

Organization SubpartNo

Authorized OfficialBoris NiyazovPresident · (212) 310-0111

Enumeration DateApril 10, 2011

Last NPPES UpdateFebruary 16, 2017

✔ NPI 1962792176 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 · 030612

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

1000 1ST AVE, New York, NY 10022

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Other Names 1

Doing Business AsHealthsource Pharmacy

Other Identifiers 2

Other2129913Pk

Medicaid3111442NY

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 5

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.

386 services385 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.

196 services196 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.

148 services148 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 6

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

Healthsource Pharmacy III B Inc.

DMEPOS supplier · New York, NY

⋮

Does not accept Medicare assignment

Healthsource Pharmacy III B 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)20456009

Medicare Participant SinceMarch 13, 2018

Supplier Location1000 1st AveNew York, NY 10022

Phone(212) 310-0111

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.

PERLA PHARMACY

Pharmacy (Community/Retail Pharmacy)

1000 1ST AVE
NEW YORK, NY 10022

New York County (212) 753-8638

ELLEN KIM

Pharmacist

1000 1ST AVE
NEW YORK, NY 10022

New York County (212) 310-0111

HESHAM ABDALLA PHARMD

Pharmacist

1000 1ST AVE
NEW YORK, NY 10022

New York County (212) 310-0144

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 III B Inc's NPI number?

The NPI number for Healthsource Pharmacy III B Inc is 1962792176. It was assigned to this organization in the NPPES registry on April 10, 2011. The provider is doing business as Healthsource Pharmacy.

Where is Healthsource Pharmacy III B Inc located?

Healthsource Pharmacy III B Inc is located at 1000 1st Ave At 55th Street, New York, NY 10022. The listed phone number is (212) 310-0111.

What is Healthsource Pharmacy III B Inc's specialty?

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

Does Healthsource Pharmacy III B Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Healthsource Pharmacy III B 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 III B 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 III B 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 III B Inc was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.