All-source Corp
Community/Retail Pharmacy
9109 63rd Dr, Rego Park
New York, 11374-3849
718-255-6100 718-255-6104
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 Sep, 2025 |
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 | |
| Compounding Pharmacy | | | Secondary | |
| Mail Order Pharmacy | | | Secondary | |
| Managed Care Organization Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
| Military/u.s. Coast Guard Pharmacy | | | Secondary | |
| Department Of Veterans Affairs (va) Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | | | 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.