All-source Corp is an authorized DME supplier for medicare equipments and products.
All-source Corp is a Community/Retail Pharmacy in Rego Park, New York. It is located at 9109 63rd Dr, Rego Park and it's customer support contact number is 718-255-6100. The authorized person of All-source Corp is Peter Nyazov who is President of the pharmacy and his contact number is 718-255-6100. Active license number of All-source Corp is 031371 for Community/Retail Pharmacy in New York. All-source Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. All-source Corp is 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.
Pharmacy Details:
All-source Corp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
All-source Corp
Type:
Community/Retail Pharmacy
Location:
9109 63rd Dr, Rego Park, New York, 11374-3849
Phone:
718-255-6100
Fax:
718-255-6104
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Peter Nyazov
Position:
President
Contact Number:
718-255-6100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1013272095
NPI Enumeration Date:
06 Jul, 2012
NPI Last Update On:
19 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for All-source Corp are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
031371
New York
Primary
Military/u.s. Coast Guard Pharmacy
Secondary
Department Of Veterans Affairs (va) Pharmacy
Secondary
Durable Medical Equipment & Medical Supplies
Secondary
Parenteral & Enteral Nutrition
Secondary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
Mail Order Pharmacy
Secondary
Managed Care Organization Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2135875
Other
Pk
Medicare Enrollment:
All-source Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1052562642
O20121107000497
All-source Corp
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9109 63rd Dr, Rego Park, New York
Zip:
11374-3849
Phone Number:
718-255-6100
Fax Number:
718-255-6104
Patients can reach All-source Corp at 9109 63rd Dr, Rego Park, New York or can call on customer care at 718-255-6100.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
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