Healthsource Pharmacy Inc
Community/Retail Pharmacy
1296 2nd Ave, New York
New York, 10065-5707
212-794-8700 212-794-4979
Healthsource Pharmacy Inc is a Community/Retail Pharmacy in New York, New York. It is located at 1296 2nd Ave, New York and it's customer support contact number is 212-794-8700. The authorized person of Healthsource Pharmacy Inc is Boris Niyazov who is President of the pharmacy and his contact number is 212-794-8700. Active license number of Healthsource Pharmacy Inc is 025135 for Community/Retail Pharmacy in New York. Healthsource Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Healthsource Pharmacy Inc 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:
Healthsource Pharmacy Inc 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: | Healthsource Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 1296 2nd Ave, New York,
New York, 10065-5707 |
| Phone: | 212-794-8700 |
| Fax: | 212-794-4979 |
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: | Boris Niyazov |
| Position: | President |
| Contact Number: | 212-794-8700 |
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: | 1770695876 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 27 Apr, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Healthsource Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 025135 | New York | Primary | |
| 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 |
| 02182694 | Medicaid | New York | |
| 2063440 | Other | | Pk |
Medicare Enrollment:
Healthsource Pharmacy Inc 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 |
| 7719190313 | O20100930068889 | Healthsource Pharmacy, Inc. | DME SUPPLIER - PHARMACY |
| 7719190313 | O20110105000735 | Healthsource Pharmacy, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Healthsource Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Hospital Beds: Manual |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Parenteral Nutrients | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Traction Equipment | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Ultraviolet Light Devices | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1302 2nd Ave,
New York, New York |
| Zip: | 10065-5706 |
| Phone Number: | 212-794-8700 |
| Fax Number: | 212-794-4979 |
Patients can reach Healthsource Pharmacy Inc at
1296 2nd Ave, New York, New York or can
call on customer care at 212-794-8700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.